Form 8-K Trinity Place Holdings for Dec 19

FIDUCIARY DEED

Prepared By and After Recording Return to:

Send Tax Statements to Grantee (Name and Address):

--------Above This Line Reserved For Official Use Only--------

FIDUCIARY DEED

THIS DEED, made this day of 20 by and between as [ ] Conservator of the estate of
or [ ] Testamentary Trustee of the Trust established by the Last Will and Testament of Trust,
or [ ] Trustee of the
or [ ] Administrator of the Estate of
or [ ] Executor of the Estate of
party of the first part, and [ ] an individual, or [ ] and
individuals, or [ ] and Husband and Wife, as Joint Tenants with the right of survivorship, and not as Tenants in Common, party of the second part:

WITNESSETH, that for and in consideration of the sum of the said party of the first part does grant unto the said party of the second part, in fee simple, with fiduciary covenants, the following described land and premises, with the improvements, easements and appurtenances thereunto belonging, situate, lying and being in the District of Columbia.

INSERT DESCRIPTION OR ATTACH AS EXHIBIT

AND the said Grantor, party of the first part does hereby covenant to warrant specially the property hereby conveyed and to execute such further assurances of said land as may be requisite.

WITNESS their/his/her hand and seal on the day and year first hereinbefore written.

Signed, sealed and delivered in the presence of:

I, a Notary Public in and for the
do hereby certify that who is personally well known to me as a party to and who executed the foregoing and annexed Deed bearing date the day of 20 personally appeared before me in said jurisdiction and acknowledged the same to be act and deed.

My commission expires:

** Type name and title of fiduciary such as: “John Doe, as Executor of the Estate of John Doe, Sr.", "John Doe, as Administrator of the Estate of John Doe, Sr.”, “John Doe, as Trustee of the John Doe, Sr. Family Trust”, “John Doe, as Guardian of the Person and Estate of John Doe, Sr.”, “John Doe, as Conservator of the Person and Estate of John Doe, Sr."