ASSIGNMENT OF BENEFICIAL INTEREST IN TRUST THIS ASSIGNMENT is made this ____________________day of________________,20_______, By __________________________________________________________________ (hereinafter referred to as “Assignor”), whose address is _____________________________________________________________________ to ___________________________________________________________________ (hereinafter referred to as “Assignee”), whose address is ________________________________________________________________________ WITNESSETH: WHEREAS, the Assignor is a beneficiary of a trust created by __________________________________________________________by instrument dated___________________________,naming_______________________________as Trustee; and WHEREAS, the Assignor desires to assign to the Assignee all of Assignor’s beneficial interest in the trust; and WHEREAS, the instrument does not prohibit such assignment; NOW THEREFORE, for valuable consideration, the receipt of which is hereby acknowledged, the Assignor hereby assigns to the Assignee all Assignor’s interest as a beneficiary of the Trust, including all monies due or to become due to the Assignor thereunder; and The Assignor authorizes the Trustee of the Trust to pay directly to the Assignee all monies or other benefits representing, or arising from, the interest assigned hereby. Signed, sealed and delivered in the presence of: ___________________________________________ Assignor (Print) ___________________________________________ Assignor Signature ___________________________________________ Assignor (Print) ___________________________________________ Assignor Signature ___________________________________________ Witness (Print) ___________________________________________ Witness Signature ___________________________________________ Witness (Print) ___________________________________________ Witness Signature STATE OF__________________________________ COUNTY OF _______________________________ I hereby certify that on this day, before me, _____________________________________,personally appeared ________________________________________________________________________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 in the County and State last aforesaid This ______________________day of ________________________,20____________ __________________________________________________________ Notary Public My commission expires_______________________________________