AFFIDAVIT OF GIFT
My name is_______________. I am producing this affidavit to memorialize a completed gift of $________ IQD____ Iraqi Dinar note to my, __relation__________, ____name____________.
The intent of this letter is to establish the time of gift and basis of the gift for gift tax valuation purposes and to provide documentation of the transfer in the case that such documentation is ever necessary for NAME OF PERSON to exchange the gifted nonfunctional currency for other currency.
I, YOUR NAME, located in the city of_______, state of _________, on Date did gift a notes of currency of the Iraqi government with a total value of $_______ Iraqi Dinar to my ___Relationship__, Name , living in the city of _________, state of ______________ without expectation of gain for myself.
This gift was accomplished by placing said notes in the mail with the USPS, limited delivery, postage paid, and properly addressed as follows:
Name of Gifted
City, State and Zip
ESTABLISHING TRAIL OF TITLE
On the ___ day of Month, Year I exchanged $cost of Dinar United States currency for $amount of Iraqi Dinar (IQD). The above referenced Dinar was received by me in this transaction. I conducted this transaction with Name where purchased in the city of __________, state of _________ under the order # of Receipt #.
I hereby affirm and attest that the above statement is true and correct to the best of my knowledge.
This instrument was on the date thereof signed, published and declared by Your Name to be a true affidavit in our presence and in the presence of each of us, and we, at the same time.
Your legal signature name
Witness________________________ Date ________
Witness_______________________ Date ________
STATE OF ________________________ ss.
COUNTY OF _______________________
On this day, _______________________, 20___, before me personally appeared Steven Bryan Morris, as affiant, personally known to me (or proved to me on the basis of satisfactory evidence) to be the individual whose name is subscribed to the foregoing Affidavit of Gift, and acknowledged that he[she] executed the same as his[her] voluntary act and deed for the purposes therein contained. Witness my hand and official seal.
____________________________, Notary Public
My commission expires: ______________________