MEMORANDUM that on the _______ day of_______ 20 _____ the undersigned
____________ of etc., in consideration of natural love and affection for his son
_____________ (insert the name of son) gave verbally all and singular his movable
properties as specified in the Schedule hereto to the said son for his sole use and
benefits absolutely and at the same time delivered possession thereof to him, and the
said son at the same time accepted the said gift and took possession of the same as an
absolute owner thereof.

THE SCHEDULE ABOVE REFERRED TO:

IN WITNESSES WHEREOF etc.

[Signatures of both Parties]