Fill and Sign the Beneficiary Income Form

Assignment by Beneficiary of a Percentage of the Income of a TrustFor value received, the receipt and sufficiency of which is hereby acknowledged, I, ___________________________________________________________ (Name of Beneficiary), of __________________________________________________________ ________________________________________________________________________ _______________________________ (street address, city, county, state, zip code), do hereby assign, transfer, and set over to ________________________________________ ______________________________ (Name of Assignee), hereinafter called Assignee, of ________________________________________________________________________ __________________________________________________________________________________________________________ (street address, city, county, state, zip code), ____________% of my interest in and to the income and rents which from time to time may be payable to me or to which I may be later entitled under the Trust established by the [e.g., Declaration of Trust of (Name of Trustor) dated (date) for the benefit of (Name of Beneficiaries)] ________________________________________________________ ________________________________________________________________________ _______________________________________________________________________________________________________________________________________________________________________________________________________________________. The Trustee named in said Trust is ___________________________________________ (Name of Trustee) of ______________________________________________________ ________________________________________________________________________ _______________________________ (street address, city, county, state, zip code). The property contained in the trust fund is located in _________________________________ (State).I further grant to Assignee full power to demand, sue for, and recover such interest in his own name, and on payment in receipt of the same or any lawful part of the same to release and receipt for the same in a lawful and proper manner. I further direct the Trustee of the Trust to remit directly to Assignee all monies and benefits accruing from the interest now assigned and to consider Assignee a Beneficiary under the Trust to the extent of that interest.Witness my signature on this __________________________________________ (date). ______________________________Signature of Beneficiary______________________________ Printed Name of Beneficiary (Acknowledgments form may vary by state) 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 Beneficiary), who acknowledged that he executed the above and foregoing instrument. ______________________________ NOTARY PUBLIC My Commission expires:______________________