Multiple Trustee Designation _Type 1_

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MULTIPLE TRUSTEE DESIGNATION ( TYPE 1) The following are additional instructions to be applied to the trust agreement established on ___________________, by _______________________________, naming ______________________________________________________________ as beneficiary: Trustor and _____________________________________________________ (Name), of ___________________________________________________________ (Address), shall serve as the trustees of the trust hereby created and, according to the terms herein shall distribute in trust the underlined property: _____________________________________________________________________ _____________________________________________________________________. (Description of assets to be held in trust) ______________________________ Signature ______________________________ Date ______________________________ Witness ______________________________ Date ______________________________ Witness ______________________________ Date ______________________________ Witness ______________________________ Date

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