Fill and Sign the Successor Trustee Form

Appointment of Successor Trustee By Original Trustor in a Trust Agreement I, _______________________________________________________ (name of trustor), of ___________________________________________________________________________ _______________________________________________________________________________________________________________________ (street address, city, county, state, zip code), am the Trustor under a trust agreement dated _________________________________________ ___________________ (date), by which I assigned, transferred, and delivered to ________________________________ __________________________ (name of trustee) certain property, in trust for the benefit of ____________________________________________ __________________________ (name of beneficiary), for the uses and purposes specified in the agreement. Under the trust agreement I reserved the power to name by appointment the succeeding trustee in the event of the death, resignation, or inability to serve of ______________________________________________________ (name of trustee) prior to the execution of the trust. On _______________________________________________ (date), ________________________________________________________ (name of original trustee) resigned effective ____________________________________________ (date). In execution of the power reserved to me, I name and designate _______________________________________ ___________________________ (name of successor) of _______________________________ ____________________________________________________________________________________________________________________________________________________________ (street address, city, county, state, zip code), as trustee to succeed ________________________ _______________________________________________________ (name of original trustee). Witness my signature ____________________________________________ (date). _______________________________________________________________________ (Printed Name and Signature of Trustor) STATE OF _____________________________________________ COUNTY OF ____________________________________ Personally appeared before me, the undersigned authority in and for the said county and state, on this ______ day of ____________________________________________, 20______, within my jurisdiction, the within named ____________________________________________ ________________________ (name of trustor), who acknowledged that he/she is the Trustor under a trust agreement dated ________________________________________________ (date), for the benefit of _______________________________________________________ (name of beneficiary) , and that in said representative capacity he/she executed the above and foregoing instrument, after first having been duly authorized so to do. __________________________________________________ NOTARY PUBLIC My Commission Expires: ______________________ (Form of acknowledgement may vary from state to state)