Fill and Sign the Amendment Agreement Sample 497329748 Form

General Form of Amendment of Trust Agreement Pursuant to the powers reserved to me, the undersigned _____________________ _______________________ (Name of Trustor) , as Trustor in the Trust Agreement dated _________________________________________ (date), between myself and _____________________________________________________ (Name of Trustee) , of ________________________________________________________________________ ________________________________________________________________________ ___________________________________ (street address, city, county, state, zip code), as Trustee, in which _______________________________________________________ (Name of Beneficiary) is named as Beneficiary, I hereby amend that Trust Agreement in the following respects: 1. Cancellation and Substitution of Provision Section ___________ (numeral or letter) is canceled and is of no further effect. In lieu of the canceled provision the following is substituted: (Insert new provision) ________________________________________________________________________ ________________________________________________________________________ _______________________________________________________________________. 2. Addition To Section ___________ (numeral or letter) , the following new provision is added: (Insert new provision) ______________________________________________ ________________________________________________________________________ _______________________________________________________________________. 3. Cancellation of Amendment and Reinstatement of Original Provisions The amendment of Section _____________ (numeral or letter) , made on _________________________________________ (date) , is canceled and shall be of no further force and effect. The original Section is reinstated as it stood prior to the amendment. 4. Right to Amend or Revoke Prior Amendment The right to amend or revoke the foregoing amendment in whole or in part is reserved. Witness my signature this the _________________________________________ (date). ____________________________________ (Signature of Trustor) ____________________________________ (Printed Name of Trustor) STATE OF ______________________________________________ COUNTY OF ___________________________________ Personally appeared before me, the undersigned authority in and for the said county and state, on this ______ day of _______________________________________, 20______, within my jurisdiction, the within named _____________________________ _______________________________________ (Name of Trustor), who acknowledged that he is Trustor in the Trust described in the above and foregoing instrument, and that in said representative capacity he executed the above and foregoing instrument, after first having been duly authorized so to do. ___________________________________________ NOTARY PUBLIC My Commission Expires: ______________________ Acknowledgement of Receipt by Trustee The undersigned ____________________________________________________ (Name of Trustee), acknowledges that it is the Trustee in the Trust described above, and does hereby acknowledge receipt and acceptance of the terms of the above Amendment of Trust Agreement. Witness the signature of ______________________________________________ (Name of Trustee) on this the _________________________________________ (date). ____________________________________ (Name of Corporate Trustee) By: ________________________________ ____________________________________ (Printed Name and Signature of Officer) STATE OF ______________________________________________ COUNTY OF _____________________________________ Personally appeared before me, the undersigned authority in and for the said County and State, on ____________________________________________ (date) , within my jurisdiction, the within-named ______________________________________ _____________________________ (Name of Officer), who acknowledged that he is a (e.g., Vice-President and Trust Officer) _______________________________________ of ____________________________________________________ (Name of Trustee) , a ________________________________________________ (Name of State) corporation, and that for and on behalf of the said corporation, and as its act and deed, he executed the above and foregoing instrument, after first having been duly authorized by said corporation so to do. ___________________________________________ NOTARY PUBLIC My Commission Expires: ______________________ (Form of acknowledgements may vary from state to state)