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Grantor Trust

THIS AGREEMENT, made [date], by and between Grantor, [name], of [address], and Trustee, [name], of [address].

1. Creation of Trust; Designation of Trustee. As of the above date, Grantor has transferred the property listed in Schedule A to Trustee. Grantor may hereafter transfer other property to Trustee and may hereafter execute a Last Will and Testament wherein Trustee may be designated as the beneficiary of all or some portion of Grantor's estate.

Grantor does hereby constitute [name] as Trustee of the property listed in Schedule A, and of such other property which Trustee may receive as beneficiary under Grantor's Will, or otherwise, to hold the same in trust, on the terms and conditions of this Agreement.

2. Trust During Grantor's Lifetime.

a. Trustee shall pay to Grantor, or apply for his use, the net income of the trust in convenient periodic installments throughout each year, so long as he lives.

b. In addition, Trustee shall, from time to time, pay to Grantor, or apply for his use, such amount of the principal of the trust as, in Trustee's sole discretion, shall be deemed necessary to provide liberally for Grantor's health, comfort, maintenance, and support or to meet any emergency affecting him.

c. Furthermore, Grantor shall have the complete and unrestricted right to withdraw all or any part of the principal of the Trust Estate, at any time and from time to time, as he may elect upon written notice to Trustee.

3. Payment of Taxes; Use of Certain Government Bonds.

a. Upon the death of Grantor, there may not be sufficient cash or other liquid assets in Grantor's probate estate to pay bequests, the taxes payable by Grantor's estate, or otherwise in respect of his death, or his debts and administration expenses. In any of such events, Trustee shall, from the assets of the trust, either (i) pay to Grantor's Executor(s) or Administrator(s) such amounts as are necessary therefor or (ii) discharge any such obligations directly, as determined in Trustee's sole discretion. In either case, Trustee shall make such payments using only such assets as are otherwise includible in Grantor's gross estate for federal estate tax purposes. All sums paid by Trustee under the provisions of Section 3 shall be free from trust, and no beneficiary hereunder, under Grantor's estate, or otherwise shall be required to reimburse Trustee for any such sums paid. In making any such payments, Trustee may rely and act on evidence and information that Trustee believes to be correct, and any action taken by Trustee in reliance thereon shall be binding and conclusive upon all beneficiaries hereunder.

b. Notwithstanding the provisions of Section 3a, if Trustee shall have possession of any U.S. government bonds eligible for redemption at par plus accrued interest in payment of federal estate tax, Trustee shall deliver any such bonds in accordance with the directions of the Executor(s) or Administrator(s) of Grantor's estate, either to such Executor(s) or Administrator(s) or directly in payment of the federal estate tax liability of Grantor's estate. If Trustee shall be under a duty to prepare and file the federal estate tax return pertaining to the property held in the Trust Estate, either because of the failure of Grantor's personal representative to carry out this task or because no such personal representative shall be appointed at that time, Grantor directs Trustee in all events to apply such bonds in payment of said estate tax liability. It is Grantor's intention that only after all of such bonds which may be required by such Executor(s) or Administrator(s) or which may be required by virtue of the preceding sentence shall have been used for payment of such liability, that other assets of the Trust Estate may be used for that purpose.

4. Grantor's Death; Trust for Family.

a. Trust for Spouse and Issue. Trustee shall pay the net income of the Trust Estate in convenient periodic payments to or for the benefit of Grantor's Spouse, so long as she shall live. Trustee may also pay out so much of the principal of the Trust Estate to or for the benefit of Grantor's Spouse, in such amounts and at such times as shall be deemed advisable, in Trustee's discretion, to provide for her health, support, and maintenance, or to provide against any emergency affecting her, taking into account the income and assets available to her from other sources. After the death of Grantor's Spouse and prior to the division of the Trust Estate into shares under Section 4e, Trustee shall pay the net income of the Trust Estate to or for the benefit of any one or more of a group composed of Grantor's children and the issue of any child of Grantor, in such proportions and amounts and at such times as shall be determined, in Trustee's discretion. Trustee may also pay out so much of the principal of the Trust Estate to or for the benefit of any one or more of a group composed of Grantor's children and the issue of any child, in such proportions and amounts and at such times as shall be deemed advisable, in Trustee's discretion, to provide for their respective health, support, and maintenance, and to continue education (including college and graduate and professional school).

b. Division of Trust. Upon the death of the survivor of Grantor and Grantor's Spouse, or when there shall be no living child of Grantor under age [number], whichever of these events shall last occur, Trustee shall divide the Trust Estate into equal shares: one share for each of then living child of Grantor, and one share for the collective then living issue of any deceased child of Grantor. Any share set aside for the collective issue of a deceased child of Grantor shall be distributed to such issue, per stirpes, subject to only the provisions of Section 5.

c. Trusts for Children. Any share set aside for any living child of Grantor shall be held on the following terms and conditions:

i. Until the death of each child of Grantor, or until the termination of this trust as hereafter provided, Trustee shall pay the net income of said trust to or for the benefit of each such child. Trustee may also pay so much of the principal of said trust to or for the benefit of said child, at such time or times and in such amounts as shall be deemed advisable, in Trustee's discretion, to provide for such child's health, support, maintenance, and continued education (including college and graduate and professional school), to enable such child to purchase a residence, to enter a business or profession, or for any other purpose that, in the Trustee's discretion, is a proper use of principal.

ii. Upon attaining the ages specified below, Grantor's child shall have the right at any time, and from time to time, by request in writing delivered to Trustee, to withdraw, in one or more sums, an amount that in the aggregate shall not exceed the following percentages of such child's separate trust: at age [number] and for the next [number] years:

---------- percent (-----%);

at age [number] and for the next [number] years:

---------- percent (-----%);

at age [number] and thereafter: ---- percent (-----%).

Said percentages shall be applied against the sum of (A) the principal value of such child's trust as of the month-end immediately preceding the date on which each such request is received, plus (B) any amount(s) previously withdrawn by such child valued at the time of such previous withdrawal(s). Such withdrawal(s) may be made in cash, security, or other property.

iii. Notwithstanding the foregoing, Grantor's Spouse shall have the continuing right after Grantor's death, by instrument in writing filed with Trustee, to alter the terms of the preceding paragraph governing the principal withdrawal rights of any child of Grantor as of the time of filing of the written instrument with Trustee, but only such rights relating to ages not then attained by any child, in either or both of the following respects: (A) changing the age or ages at which any such withdrawal right may be exercised and (B) increasing or decreasing the number of installments in which principal may be withdrawn.

iv. Upon the death of any child, any portion of such child's share then remaining in the hands of Trustee (regardless of whether then subject to such child's right of withdrawal) shall be distributed to whomsoever among the deceased child's spouse and/or issue that the deceased child shall have validly appointed outright or in trust by Last Will and Testament or Codicil thereto, in which specific reference to this power is made. Any portion not effectively appointed shall be distributed to the deceased child's then living issue, per stirpes; but if none, to Grantor's then living issue, per stirpes.

v. If any unappointed share passes under the provisions of the preceding paragraph to any of Grantor's issue for whom Trustee is then required to hold a fund under the other provisions of this trust, such share shall be added to such fund, and thereafter shall be managed, controlled, and ultimately disbursed in accordance with the provisions that control said fund.

d. Ultimate Disposition. Any part of the Trust Estate that shall fail to pass under any of the above provisions of this Trust Agreement shall be distributed to those persons who would take Grantor's personal property under the Statutes of [state] then in force and effect, as though Grantor had then died, unmarried, intestate, a resident of [state] and an owner of the Trust Estate.

e. Distribution Decisions. In making any distribution under any of the provisions of this Trust Agreement, Trustee may act on the information and evidence available, and any distribution made by Trustee in good faith and on evidence obtained from members of Grantor's family or collateral relatives shall be a full discharge and acquittance to Trustee in Trustee's performance of this Trust Agreement. Any person feeling aggrieved by such distribution shall pursue his remedy, if any, against the distributees and not against Trustee.

f. Acts of Predecessor Fiduciaries; Co-Trustee(s).

i. Trustee is hereby relieved and released from any and all liability based on or caused by acts or omissions of any predecessor fiduciary, with respect to assets previously owned by Grantor or with respect to assets that at any time formed a part of Grantor's probate estate, including, without limitation, acts or omissions of the Executor(s) and Administrator(s) of Grantor's probate estate, except for such acts or omissions of which Trustee had at any time actual knowledge.

ii. No Trustee shall be liable for the acts or defaults of any other Co-Trustee hereunder. Each Trustee shall be deemed to have acted within the scope of such fiduciary's authority, to have exercised reasonable care, diligence, and prudence, and to have acted impartially as to all persons interested unless the contrary be proved by affirmative evidence.

g. Early Termination of Trusts. Should Trustee determine that any one or more of the trusts hereunder is so small as to be deemed economically unfeasible for management under this Trust Agreement, Trustee may, in its discretion, terminate any such trust and distribute all accrued and undistributed income and principal, free of trust, to the then income beneficiary (or to such group of issue on a per stirpes basis) or for his or their benefit, or to the guardian(s), parent(s), or custodian(s) for any such beneficiary. Any such distribution made by Trustee shall be final, binding, and conclusive on all persons and shall be a full discharge and acquittance to Trustee in its performance of this Trust Agreement.

5. Deferral of Distributions.

a. With respect to any amounts that under any of the foregoing provisions would vest in any beneficiary under this Agreement who at the time is under the age of twenty-one (21) years, or whom Trustee shall determine to be mentally or physically incapacitated, Trustee may defer payment thereof until any such beneficiary attains age twenty-one (21) or thereafter until such incapacity is removed. Meanwhile, Trustee shall apply to such beneficiary's use so much of the income and principal thereof as may be deemed necessary in Trustee's sole discretion, for such beneficiary's health, support, maintenance, and education (including college and graduate and professional school). In making the determination of physical or mental incapacity, Trustee shall be entitled to rely on the certificate of a licensed physician having direct knowledge of the conditions of such beneficiary.

b. Upon the death of any beneficiary for whom Trustee is holding a fund under the provisions of Section 5 (unless, in the case of Grantor's children, distribution shall be provided for above), Trustee shall distribute such fund as such deceased beneficiary shall have validly appointed by Last Will and Testament or Codicil, in which specific reference to this power is made. Any portion not validly appointed shall be distributed to the deceased beneficiary's estate.

c. During the minority of any beneficiary, or when any beneficiary is, in the sole judgment of Trustee, mentally or physically incapacitated for any reason, payment of income or principal may be made by Trustee to the parent, guardian, or other person having the care and custody of such minor or incapacitated beneficiary, may be expended by Trustee for the benefit of such beneficiary, or may be paid directly to such beneficiary; all as shall be determined in Trustee's sole discretion. The receipt of any such beneficiary, even though a minor, or of any person to whom amounts are paid for the benefit of any such beneficiary shall be a full discharge to Trustee for the amounts so disbursed.

6. Compliance With Rule Against Perpetuities. Notwithstanding anything to the contrary herein contained, if any share of the Trust Estate shall not have vested according to law within a period of twenty-one (21) years after the death of the last survivor of Grantor and Grantor's Spouse and issue living at the time Grantor's reserved power to revoke or terminate this trust expires, either by reason of Grantor's death or by release of the power or otherwise, then, on the day before the end of such period, such share shall nevertheless vest in and be distributed to the person or persons then entitled to receive the income of such share in the proportions that such person or persons are then entitled to receive income, and in equal shares among all persons who are then included in any group entitled to receive income in the discretion of Trustee.

7. "Child," "Children," and "Issue." Wherever the words "child," "children," and "issue" are used herein, they shall include persons adopted, as well as those of the blood, of the parent or ancestor mentioned.

8. Renunciation of Interests; Acceleration. The renunciation, surrender, release, or disclaimer by any beneficiary of any interest(s) of his in any trust created by this Trust Agreement shall accelerate all other interests therein (including other interests that may be held by him) in the same manner as would have his death at the same time, but only as to such renounced, surrendered, released, or disclaimed interest(s).

9. Powers of Trustee.

a. Trustee shall have full power and authority to administer the trusts herein established, and, without limiting the generality of the foregoing, the following express powers:

i. To collect all income and to deduct, before distribution to the beneficiaries, such fees and expenses as may accrue or be payable;

ii. To retain, without liability for loss or depreciation resulting from such retention, original property, real or personal, received from Grantor or Grantor's estate, or under Grantor's will, or from any other source (including any shares of stock issued by [name], any successor Trustee, or the parent or any affiliate company of any Trustee) although it may represent a disproportionate part of the trust; to invest or reinvest in any property (including any mutual fund or common trust fund) and to hold cash uninvested for such periods as may be deemed advisable, all without being restricted to any forms of investment prescribed by statute or rule of court; provided, however, that any investment or reinvestment in the stock of [name], or of any other corporate Trustee, or of the parent or any affiliate company of any Trustee, shall be made only upon the written direction of Grantor during Grantor's lifetime; and after Grantor's death, upon the written direction of each of the adult beneficiaries (or the guardian or custodian or any minor beneficiary) as to such stock as may be held in his fund; or as otherwise permitted by law;

iii. To sell, contract to sell, exchange, lease, pledge, mortgage, or otherwise dispose of, for any purpose and at any time prior to making final distribution, any or all assets of the trust, for such prices and on such terms and conditions and in such manner as may be deemed advisable;

iv. To borrow such sums of money as may be required for any purpose (including from the commercial department of any corporate Trustee) and to give security in respect thereof;

v. To purchase securities or other property, real or personal, from Grantor's estate and to retain them as a part of the trust, regardless of the fact that any particular asset may represent a disproportionate part of the trust;

vi. To manage, protect, exchange, partition, subdivide, grant, and convey, with or without covenants of warranty, lease for a term of years or perpetually with or without privilege of purchase, irrespective of the term of this trust, and to do and perform any and all other proper acts as the owner of real estate, or any interest therein, and any improvements thereon;

vii. To employ, as an expense of the trust, such brokers, agents, or custodians as may be deemed necessary in administering the trust;

viii. To consult with legal counsel as an expense of the trust, and Trustee shall not be liable in respect of any action taken in good faith in accordance with the opinion of legal counsel;

ix. To receive, hold, or transfer any property in the name of a nominee or nominees without disclosing the fiduciary relationship, without thereby increasing or decreasing Trustee's liability;

x. To hold the assets of each separate fund as a single fund, in which event each separate fund shall have undivided interests in the single fund;

xi. To vote all securities held hereunder and to execute proxies for the voting thereof; provided, however, that any stock of [name] or of any other then acting corporate Trustee, its parent, or any affiliate company, that may be held hereunder shall be voted by Trustee for the election of directors, or proxies given to others for such purpose, only if and as directed in writing by Grantor during Grantor's lifetime; and after Grantor's death, upon the written direction of Grantor's Spouse; and after her death, upon the written direction of each of the adult beneficiaries (or the guardian or custodian of any minor beneficiary) as to such stock as may be held in his separate fund; or as otherwise permitted by law;

xii. To execute and deliver deeds, leases, bills of sale, contracts, powers of attorney, assignments, and any and all other instruments that may be necessary or proper to carry out the powers herein granted;

xiii. To make principal distributions in cash or in kind;

xiv. To compound, comprise, or adjust any and all claims and demands whatsoever;

xv. To continue in full force any policies of life insurance that may at any time form a part of the Trust Estate, on the life of any person, or to purchase insurance on the life of any beneficiary or other person in whom any such beneficiary shall have an insurable interest, naming as beneficiary of any such policy either the trust or the trust beneficiary on whom or with respect to whom such policy was purchased; to exercise any and all rights granted under any such policy, including the right to borrow from the value accrued, to elect to convert to paid-up insurance, or to surrender any such policy for the then full value; and Trustee may pay premiums, assessments and other proper charges on any such policy, either from the income, or to the extent necessary from the principal of the Trust Estate; and Trustee may exercise all rights granted under any such policy, all as Trustee shall determine in Trustee's sole discretion; and

xvi. To exercise any stock options, if options should be distributed to Trustee upon distribution of Grantor's estate, and if deemed advisable, in Trustee's sole discretion; and in connection therewith, to borrow money from any source, including from the commercial department of any corporate Trustee, for the purpose of exercising any such option; and if Executor(s) or Administrator(s) of Grantor's estate desire to exercise any such option, to advance money to said Executor(s) or Administrator(s) for such purpose, and if necessary, to borrow money from any source in order to be able to make such advancement. In all events, however, any advancement to Grantor's estate shall be made solely from funds other than the excludible portion of the proceeds of any qualified employee benefit plan.

b. Trustee shall determine, in cases of doubt, whether money or property received shall be treated as principal or income, and shall determine the manner in which gains, losses, and expenses shall be charged, being required merely to act in accordance with sound accounting practices. Trustee's determination of each instance shall be final and binding on all of the beneficiaries of the trust. However, in distinguishing between income and principal, Trustee need not amortize premiums paid in acquiring securities for the trust and need take no account of discounts. Furthermore, all capital gains and losses, including dividends on any shares of mutual funds derived from realized capital gains, shall be allocated to principal.

c. Trustee shall keep an appropriate record of the administration of the trust, and shall render statements of such administration not less often than annually to the adult beneficiaries and to the guardian(s) of minor beneficiaries who are from time to time entitled to receive income hereunder.

10. Right to Revoke or Amend This Trust. Grantor reserves the right at any time, from time to time, by instrument in writing delivered to Trustee, to amend or revoke this trust in whole or in part as such may affect property contributed by Grantor, except that no amendment shall increase the duties or responsibilities of Trustee or affect Trustee's compensation, without Trustee's written approval. Grantor reserves the right to add property to this trust at any time or times, and reserves the right for any other person to add property to any trust hereunder after the death of Grantor, provided always that such additional property shall be such as is acceptable to Trustee.

11. Resignation or Removal of Trustee.

a. Any Trustee serving hereunder may be removed at any time by written notice delivered personally or by registered mall to Trustee from Grantor.

b. Any Trustee serving hereunder may resign by delivering written notice of intention to do so personally or by registered mail to Grantor, if living; but if not, to all the adult beneficiaries and the custodians or guardians of all minor beneficiaries then entitled to receive income distributions hereunder.

c. Upon the resignation or removal of any Trustee, the party properly demanding such removal or receiving Trustee's notice of resignation, as the case may be, or if more than one, a majority of such parties, may appoint any bank or trust company having a combined capital and surplus of not less than ----- dollars ($-----) wherever situate, as Trustee hereunder. Should no successor Trustee be so designated prior to the effective date of Trustee's termination, the resigning or removed Trustee shall designate a successor Trustee having the qualifications herein provided.

d. Upon the payment and delivery to any successor Trustee of all the property and assets of the Trust Estate, and after full settlement of accounts, the responsibilities and liabilities of the resigning or removed Trustee shall terminate. No successor Trustee shall be required to investigate the acts of any predecessor Trustee, nor be responsible for any of the acts or omissions of any predecessor Trustee.

12. Compensation of Trustee.

a. Trustee may, from all assets that come into Trustee's hands as such Trustee, be reimbursed for such costs, charges, taxes, damages, and expenses as Trustee may have paid or have been put unto by reason hereof.

b. Trustee shall receive that compensation that is provided for in its current schedule of fees effective for the period of time for which such compensation is billed. Such compensation, except that payable upon distribution of principal, shall be charged equitably against income and principal, as shall be determined in Trustee's sole discretion, so that both the income beneficiaries and remaindermen shall, between them, fairly bear Trustee's fees. Compensation payable upon distribution of principal shall be charged against principal.

13. Governing Law. The validity of this Trust Agreement and the initial passage of property to the Trustee hereunder shall be governed by the laws of the State of [state]. Questions pertaining to the administration of the trust shall be governed by the laws of the state wherein is located the principal office of the corporate Trustee.

14. Provisions Pertaining to Life Insurance.

a. With respect to the policies of life insurance, Grantor reserves for Grantor, and for the owner of any other life insurance not owned by Grantor, made payable to Trustee hereunder, the right without the necessity of obtaining the consent of Trustee or of any other person, to exercise all rights, options, and privileges conferred by the terms thereof. Trustee shall have no obligation with respect to such insurance during Grantor's lifetime, except the safekeeping of such policies as may be placed in Trustee's custody.

b. Trustee shall, after receiving notice of the death of Grantor, prepare, serve, and file notices and proofs of death, and take such actions as in Trustee's discretion may be necessary to collect the amounts due from time to time on all policies of life insurance on Grantor's life in which Trustee is named as beneficiary and that are delivered to Trustee after Grantor's death; provided, however, that Trustee shall not be required to institute any proceedings to collect the proceeds of any such policy of life insurance unless Trustee holds funds hereunder sufficient for that purpose, or unless Trustee has been indemnified to Trustee's satisfaction for all expenses and liabilities to which Trustee may anticipate being subjected by such action.

c. The insurance companies that may pay the proceeds of any policy or policies of insurance to Trustee hereunder are hereby fully released and relieved from any and all responsibility to see to the application of any funds so paid to Trustee. The receipt of Trustee for any sums so paid by any insurance company shall fully release such insurance company from all further responsibility or accountability to any person or persons for the sum in said receipt so stated to have been received.

15. Employee Benefit Plans.

a. Notwithstanding any contrary provision of this Agreement, if Trustee receives any property from any qualified pension, stock bonus or profit sharing plan trust, or Keogh plan trust or individual retirement account (IRA) or similar trust or plan (or under a contract purchased by any such trust or plan), Trustee shall not use any portion of said property that is excludible from Grantor's gross estate for federal estate tax purposes for the payment of the debts, taxes, or expenses of administration payable by the personal representative of Grantor's estate, or for any purposes which would cause said property to become includible in Grantor's said gross estate. Such portion excludible from Grantor's gross estate shall be added to the Trust Estate, after deducting the expenses (including taxes), if any, incurred in connection with the receipt of such portion, which expenses may be paid out of such portion of said property.

b. With respect to any qualified plan benefits (whether corporate, Keogh, IRA, or other similar plans) payable to this trust at Grantor's death, and for which Trustee has an option to select the method of payment, Trustee shall select that method of payment that will bring about the least aggregate tax (including but not limited to estate, gift, and income taxes, whether federal, state, or local) to be payable by Grantor's estate, this trust, and any beneficiaries thereof. In making such determination of least aggregate tax, Trustee may act on information, evidence, and legal interpretations available to Trustee on which such determination may depend, including, but not limited to, value of the use of money, then-current interest factors, life expectancy based on then-current tables, tax laws in effect at such time, and the then-current and projected income of beneficiaries. Any determination made by Trustee in good faith, based on the above factors and such information and evidence that Trustee may have or may obtain from beneficiaries or other persons interested in this trust without actual notice of any contrary information, shall be a full discharge and acquittance to Trustee. The foregoing shall be done without court order or other legal formality, and Trustee shall not be liable to any person by reason of carrying out this provision. The determination of Trustee hereunder shall be final and binding on all persons. Said determination shall be made by Trustee without regard to the effect of the determination on the distribution of the Trust Estate, and Trustee shall not make any adjustments between beneficiaries of this trust to compensate for any such election.

c. If such property is received in installments or by way of annuity, it is Grantor's intention that such installment or annuity payments be treated as principal for trust accounting purposes, despite income tax treatment to the contrary. Accordingly, each such payment shall be added to the principal of the trust or trusts to which distributed. These payments shall then be subject to the discretionary powers granted to Trustee to distribute principal. In the exercise of that discretion, Trustee shall consider, along with other relevant considerations, the potential advantageous effects of distributions that would achieve income splitting, in order to incur the least aggregate tax related to such payments.

16. Testamentary Election by Grantor's Spouse. Notwithstanding any other provisions of this Agreement to the contrary, if Grantor's Spouse shall elect under any provision of state law to take any interest from Grantor's probate estate against and in derogation of the provisions contained in Grantor's Last Will and Testament, such action shall have the same effect, for purposes of all rights under this Agreement, as if Grantor's Spouse had predeceased Grantor. In this instance, all provisions contained in this Agreement shall be interpreted as if Grantor's Spouse predeceased Grantor, and she shall in no way benefit from any property held in any trust under this Agreement. The effectiveness of this provision shall be conditioned upon her act of election against the Will of Grantor becoming irrevocable under said state law.

IN WITNESS WHEREOF, [name] has signed this Agreement as Grantor, and [name], as Trustee, has caused its name to be hereunto subscribed by its officers thereunto duly authorized on the date first above written.

Signed in the presence of:

[signature]

[signature]

Grantor

[name]

Trustee

[signature]

By: [signature]

SCHEDULE A

OF

TRUST AGREEMENT

between

[name]

Grantor

[name]

Trustee

Property delivered to Trustee:

[describe property]

This Section for Notary:

Acknowledgment

State of _________

County of ________ [County]

On [Date] before me, [Name of Notary], notary, personally appeared [Name of Person(s) Involved], personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

Witness my hand and official seal.

Signature ________
Notary

My commission expires: _____

(Seal)