To All to Whom These Presents Shall Come - Greeting:

Whereas, It is my intention and desire to create a trust for the purpose of...................................................................

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and to that end, and that the above object and purpose may be effectually consummated as desired, I do hereby declare this the following trust:

Now Therefore, Know Ye, That in pursuance of such intention, I

...................... of ........................ in the County of

..........................and State of........................, on this

..........................day of......................, in the year of our Lord one thousand eight hundred and ninety................, have nominated, appointed and declared, and by these presents do hereby nominate, appoint and declare ........................of......................in the County of....................and State of...................., to be my Trustee, of the sum of.................................Dollars, which said sum of money is this day paid and delivered by me to the said

.............................. in trust, nevertheless, for the purposes following, that is to say:..............................................

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the said Trustee,...................................., or his successor in trust, to have and to hold the said sum of money for the purposes above mentioned and for no other or different purpose or purposes, and to account to me in writing of all his actings and doings in respect of the said trust hereby created, and of the money so delivered to him, at such reasonable time or times as he shall be requested in writing so to do.

The said...................., Trustee, is hereby authorized and empowered to use the said money for the full execution of the trust, following out the purposes herein set forth, without let or hindrance from any one, exercising his own best judgment and discretion for the best advancement of the purposes herein set forth.

If for any cause, the said trust shall not be fully executed, or shall fail or become inoperative, then the balance of the aforesaid sum of money, if any remains after payment of all expenses and charges of said trust, shall be returned to me, the said..............................

The said.............................., Trustee, shall be allowed to retain, out of said sum of money, the sum of............................

Dollars, as pay for his services in this behalf for executing this trust, to be paid to him on the execution of this trust.

This trust shall become operative and binding immediately upon its acceptance by the said................................, Trustee.

In Witness Whereof, I have hereunto set my hand and seal this ........................day of..........................A. D. 190...

In Presence of Us,

..................................[seal.]