Fill and Sign the Declaration Trust Agreement Form

DECLARATION OF TRUST UNDER THE NORTH CAROLINA UNIFORM CUSTODIAL TRUST ACT I, ___________________________ (name of owner of property,) declare that henceforth I hold as custodial trustee for ________________________ (name of beneficiary other than transferor) as beneficiary and ________________________as distributee on termination of the trust in absence of direction by the beneficiary under the North Carolina Uniform Custodial Trust Act, the following: _____________________________________________________________ _____________________________________________________________________________ (Insert a description of the custodial trust property legally sufficient to identify and transfer each item of property). Dated: ___________________ _______________________________ (Seal) _______________________________ (Signature) _______________________________ (Witness) _______________________________ (Witness) STATE OF ___________________ COUNTY OF _________________ On this ________ day of _________, _____________________, personally appeared before me, the said named _____________________ to me known and known to me to be the person described in and who executed the foregoing instrument and he (or she) acknowledged that he (or she) executed the same and being duly sworn by me, made oath that the statements in the foregoing instrument are true. _______________________________ Signature of Notary Public My Commission Expires _____________________ Official Seal NC-02240