Fill and Sign the Successor Trustee Form

Appointment of Successor Trustee By Original Trustee Named in a Trust Agreement I, _______________________________________________________ (name of trustee), am the Trustee named in the [e.g., Declaration of Trust of (name of trustor) dated (date) for the benefit of (name of beneficiaries) ] _________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ ___ . Pursuant to the power and authority contained in such instrument, I nominate and appoint as my successor to administer the aforementioned trust ______________________________________ _______________________________ (name of successor) , of __________________________ _____________________________________________________________________________ ______________________________________________________________________________ ______________________________ (street address, city, county, state, zip code), from and after _________________________________________ (date). At such time the property forming the trust estate shall be transferred to the successor trustee named herein. Witness my signature ______________________________________________ (date). ____________________________________ ____________________________________ (Printed Name and Signature of Trustee) 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 trustee), who acknowledged that he/she is named Trustee of [e.g., Declaration of Trust of (name of trustor) dated (date) for the benefit of (name of beneficiaries) ] ________________ _____________________________________________________________________________ _ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ ___, 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)