Interesting idea. Before considering this, I would make sure that the state in question will honor your purchase. I am not sure that they would. Obtaining unclaimed assets is often difficult enough for the family members. I think that if you determine that they WILL accept such an arrangement, that you will need to have a lawyer draft a contract. You are not likely to find a "form" for this online.
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Please consult an attorney in your area to guide you in this endeavor. As the previous poster stated, this is indeed a very interesting idea, but you need a lawyer to guide you.
I have drafted a number of asset purchase agreements, but nothing like this. You should hire an attorney to (1) consult with, generally, about the deal and possible obstacles and (2) to draft the contract.
My response to this question is a response to a hypothetical situation based on limited facts. I am not your attorney; you are not my client and we do not have an attorney-client relationship. If you need a lawyer, you should contact one in your area. If you would like to talk with me about your case, you can call my office.