TRUST ESTABLISHMENT FOR MINOR

As codicil and amendment to my will, dated ___________________, and witnessed by

______________________________, __________________________________, and ______________________________, I, ______________________________ declare the following:

Should my child, _____________________________, or any other beneficiary named in my will, be a minor at the time of my death, my executor shall provide that my estate be held in trust to be distributed according to the following conditions:

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Signature Date

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Witness Date

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Witness Date

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Witness Date