Sycamore, Illinois
Dated: ________________
FOR VALUE RECEIVED (I/we) hereby sell, assign, transfer and set over unto
______________________________________________________________________________
(my/our) rights, powers, privileges, and beneficial interest in and to that certain trust agreement dated the _________ day of _________________________ and known as The National Bank & Trust
Company of Sycamore Trust Number _____________________ including all interest in the property held subject to said trust agreement, including the power of direction thereof.
The power of direction under this trust hereafter shall be exercised by:
____________________________________________________________________
_________________________________________
_________________________________________
WITNESS: APPROVED BY COLLATERAL ASSIGNEE:
By_____________________________
___________________________
I hereby affirm that this transfer (is) (is not) subject to State of Illinois Real Estate Transfer Tax. If this is a taxable transfer, I will provide the Trustee with an executed Real Estate Transfer Declaration together with the required tax prior to acknowledgement by the Trustee. In addition I will provide the fee required to record the facsimile of this assignment.
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Assignor/Assignee
I accept the foregoing assignment subject to all of the provisions of said trust agreement.
_________________________
Name Social Security Number
________________________
Address
Received the foregoing assignment and acceptance in duplicate. Dated at Sycamore, Illinois this
______ day of ________________, ____________.
The National Bank & Trust Company of Sycamore
BY: ________________________________
Title: _______________________________
(Note: this assignment should be executed in duplicate by both assignor and assignee and one executed copy lodged with The National Bank & Trust Company of Sycamore.)