Person to Act As Executor and Trustee

PERSON TO ACT AS EXECUTOR AND TRUSTEE The following are additional instructions to be applied to the trust agreement established on ________________ (Date) by ________________________________, naming ______________________________________________________________ as beneficiary: This being my last will and testament, I hereby designate ________________________ of _________________________________________________________________ (Address) to act as both executor and trustee of my estate. ______________________________ Signature ______________________________ Date ______________________________ Witness ______________________________ Date ______________________________ Witness ______________________________ Date ______________________________ Witness ______________________________ Date