Fill and Sign the In in Said County on the Day of 490213977 Form

ASSIGNMENT TO TRUST THIS Assignment, is being made on this the ________ day of _______________, 20_____, by _______________ of _______________, County, State of _______________, as the Assignor(s), whether one or more, and _______________, as Trustee of THE _______________ REVOCABLE TRUST dated _______________, as the Assignee. Assignor(s) do hereby assign, convey, and deliver to the Assignee all of the Assignor’s right, title, and interest in and to the following described property: DATED this the ________ day of ____________________ , 20____ . __________________________________ Trustor Signature Print Name _______________ __________________________________ Trustor Signature Print Name _______________ COUNTY OF __________________In ____________________ in said County on the ________ day of ______________, ____________ , before me personally appeared _____________________________________ (name/title) of _____________________________________________ , to me known and known by me to be the party executing the foregoing instrument on behalf of said corporation and he/she acknowledged said instrument by him/her executed to be his/her free act and deed, individually and in his/her said capacity and the free act and deed of said corporation. ____________________________ Notary Public Printed Name: ________________ My Commission Expires: ____________________