1, __________, (“Grantor”) of ________________, hereby amend _________________
(“Trust”) as follows: ____________________________________________________.

Except as expressly modified by this Amendment I approve, ratify and affirm the Trust.

Date:

_________________
Grantor

_________________
Trustee

STATE OF _________________
COUNTY OF _______________

This instrument was acknowledged before me on this __ day of __________, 20__ by Grantor, __________________ and Trustee, ___________________.

___________________
Notary Public
My Commission Expires on:

Amendment to Trust
Review List

This review list is provided to inform you about this document in question and assist you in its preparation. Sign amendments in the same manner as you did the original trust. All parties should sign and the signatures notarized for your protection. Be sure to initial each page.

1. Make multiple copies. Keep copies of amendments with all originals.

________________________________________________________________________________

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