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