Date received for registration Presentation Book Registration Fees: Sh….…………..

…………………………………....,20…… No. …………..../ 20…… paid. Receipt No. …………………..

REPUBLIC OF KENYA
IN THE MATTER OF THE LAND ACT NO. 6 OF 2012
AND
IN THE MATTER OF THE LAND REGISTRATION ACT NO. 5 OF 2012
AND
IN THE MATTER OF THE REGISTERED LAND ACT CHAPTER 300
( NOW REPEALED )

TRANSFER BY PERSONAL REPRESENTATIVE TO PERSON

ENTITLED UNDER A WILL OR ON INTESTACY
TITLE No. ……………………………………..
I/ WE
as personal representative (s) of
deceased HEREBY TRANSFER to

( being the person (s) entitled thereto under the will ( or on the intestacy) of the deceased) the
interest of the deceased comprised in the above – mentioned title.

The Transferees declare that they hold that interest as proprietors in common in the following
undivided shares:-

[ or as joint proprietors]

Dated this……………………………….day of ……………………………………………..………………………….20……

Signed by the Transferor(s) ID/NO. ________________

In the presence of:- PIN NO. _______________
SIGNED. _______________

Signed by the Transferee (s) ID /NO. ________________

In the presence of:- PIN NO. _______________
SIGNED ________________

I CERTIFY that the above –named……………………………………………………………………………………………….

…………………………………………………………………………………………………….…………......................................................
………………………………………………………………………………………………….….....................................................................

appeared before me on the……………………………day of………………………………………………………..….20……

and, being identified by………………………………………………………………………………………………….......

[ or being known to me], acknowledged the above signatures or marks to be his [theirs] and that
he[they] had freely and voluntarily executed this instrument and understood its contents.

………………………………………..
Signature and Designation of
Person Certifying

REGISTERED this…………………day of ………………..……………………………………….....................…….,20……

…………………………………….
Land Registrar