"TRANSFER UNDER THE LOUISIANA UNIFORM
TRANSFERS TO MINORS ACT
I, _____________ (name of transferor or name and representative capacity if a fiduciary) hereby transfer to _______________ (name of custodian), as custodian for _____________ (name of minor) under the Louisiana Uniform Transfers to Minors Act, the following: (description of the custodial property sufficient to identify it).
Dated: ____________________
___________________________
(Signature)
____________ (name of custodian) acknowledges receipt of the property described above as custodian for the minor named above under the Louisiana Uniform Transfers to Minors Act.
Dated: ____________________
__________________________"
(Signature of Custodian)
La. R.S. § 9:759