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