Legal Trustees Report

LEGAL TRUSTEES REPORT

This Trustees Report is prepared as of the date: by Trustee Name: with principal address: and delivered to Beneficiary Name: Beneficiary address: .

RECITALS

WHEREAS, a trust known as the Trust Name: was established pursuant to the trust instrument dated (the "Trust");

WHEREAS, the Trustee named above is the acting trustee under the Trust and has duty to administer, preserve and account for trust assets in accordance with the terms of the Trust and applicable law;

WHEREAS, the Trustee has prepared this written report to inform the Beneficiary of the status of the Trust, the actions taken by the Trustee, distributions made, fees charged and other material matters for the reporting period set forth below;

NOW THEREFORE, the Trustee reports as follows.

1. REPORTING PERIOD

This Report covers the period from through .

2. SUMMARY OF TRUST ASSETS

As of the end of the reporting period, the Trustee's good faith valuation of trust assets is summarized as follows. The Trustee has exercised reasonable care in preparing valuations consistent with the terms of the Trust and applicable fiduciary standards.

3. TRANSACTIONS AND RECEIPTS

The Trustee reports all material receipts and disbursements during the reporting period and retains supporting documentation in the trust records. Significant transactions are summarized below.

4. DISTRIBUTIONS

Distributions made from the Trust during the reporting period are set forth below.

5. TRUSTEE ACTIONS AND DUTIES

During the reporting period the Trustee performed the following fiduciary duties including but not limited to: custody of trust property, investment oversight, tax filings, beneficiary communications, and distributions consistent with trust terms.

6. FEES, COMPENSATION AND EXPENSES

The Trustee hereby discloses fees and expenses charged to the Trust during the reporting period in accordance with the Trust's provisions and applicable law.

7. CLAIMS, LIABILITIES AND POTENTIAL LITIGATION

The Trustee discloses that the Trust is subject to the following known liabilities, contested claims, or potential litigation matters.

8. INVESTMENTS, VALUATIONS, AND RISK MATTERS

The Trustee has reviewed the investment strategy and valuation methods applied to trust assets and reports material changes or concerns below.

If valuation performed, date of valuation:

9. ACCOUNTING AND RECORDS

The Trustee maintains records of all transactions, statements and supporting documentation. These records are kept at the location below and are available for reasonable inspection by entitled parties under the Trust instrument and law.

10. TRUSTEE CERTIFICATION

The Trustee certifies under the fiduciary duties applicable to the Trust that the information contained in this Report is true and correct to the best of the Trustee's knowledge, that the Trustee has exercised due care in preparing this Report, and that supporting records exist and will be preserved in accordance with applicable trust law.

11. NOTICES

Any notice required or permitted under this Report shall be given in writing and delivered to the addresses set forth in the opening paragraph or to such other address as a party may later designate in writing.

12. GOVERNING LAW; ENTIRE AGREEMENT; SEVERABILITY

This Report shall be governed by and construed in accordance with the substantive laws of the state selected by the Trust instrument or, if none is specified, the state in which the Trustee administers the Trust. This Report constitutes a statement of the Trustee and does not amend the Trust instrument. If any provision of this Report is held to be invalid or unenforceable, the remaining provisions shall continue in full force and effect.

13. AMENDMENT; WAIVER; COUNTERPARTS

This Report may be amended only by a written instrument signed by the Trustee. No waiver of any provision shall be effective unless in writing signed by the party granting the waiver. This Report may be executed in counterparts, each of which constitutes an original but all of which together constitute one instrument.

ACKNOWLEDGMENT

The Beneficiary acknowledges receipt of this Report. Receipt does not constitute acceptance of the Trustee's actions where review or contest may be appropriate under the Trust instrument or by law.

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