Fill and Sign the Missouri Account Trust Form

FINANCIAL ACCOUNT TRANSFER TO TRUST To: THIS Assignment, is being made on this the ________ day of _______________, 20_____, by _______________________, _______________________ County, State of Missouri, 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: Checking Account No(s): at . Checking Account No(s): at . Savings Account No(s): at . Savings Account No(s): at . Account No(s): at . Account No(s): at . Account No(s): at . Brokerage Account No(s): at . This assignment includes, but is not limited to, all cash and securities held in said Accounts. These account shall hereafter be titled in the name of _______________________, as Trustee of THE _______________________ REVOCABLE LIVING TRUST, with an address of _______________________. TO HAVE AND TO HOLD unto the Trustee and his or her successors and assigns forever. DATED this the _____ day of ______________________, 20___. __________________________________ Trustor Signature Print Name: _______________________ __________________________________ Trustor Signature Print Name: _______________________ STATE OF MISSOURI COUNTY OF ______________On this ______________ day of _____________________ in the year _________, before me, the undersigned notary public, personally appeared _________________________________, known to me to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged that he/she/they executed the same for the purposes therein contained. In witness whereof, I hereunto set my hand and official seal. _________________________________ Notary Public Print Name: _______________________ My commission expires:___________________