WILLIAM DONALD SCHAEFER, Governor

Ch. 418

THE TRUST SHALL TERMINATE UPON THE FIRST TO OCCUR OF
(CHECK THOSE APPLICABLE):

1. _____________ THE DEATH OF THE BENEFICIARY

2. _____________ THE FOLLOWING DATE: ______________________

3. _____________ THE FOLLOWING EVENT: _____________________

F.        UPON TERMINATION, THE REMAINING TRUST PROPERTY SHALL BE
DISTRIBUTED TO________________________________________________________________.

(NAME PERSON OR PERSONS)

G.       REVOCABILITY (CHECK ONE):

1. _____________ THE TRANSFEROR MAY REVOKE THIS TRUST.

2. _____________ THE TRANSFEROR MAY NOT REVOKE THIS

TRUST.

SIGNATURE OF TRANSFEROR ____________________________________________________

DATE OF EXECUTION____________________________________________________________

SIGNATURE OF WITNESS _________________________________________________________

DATE: _______________________________________________________

NAME OF ATTORNEY PREPARING THIS STATEMENT OF
TRANSFER:__________________________________________________

STATE OF MARYLAND, ________________________:SS

I HEREBY CERTIFY THAT ON ___________ (FILL IN DATE) BEFORE ME, A

NOTARY PUBLIC OF THE STATE OF MARYLAND, PERSONALLY APPEARED

___________ (NAME OF TRANSFEROR) KNOWN TO ME, OR SATISFACTORILY

PROVEN, TO BE THE PERSON WHOSE NAME IS SUBSCRIBED TO THE WITHIN
INSTRUMENT AND WHO ACKNOWLEDGES THAT HE/SHE (STRIKE ONE)
EXECUTED THE SAME FOR THE PURPOSES THEREIN CONTAINED.

WITNESS MY HAND AND NOTARIAL SEAL.

NOTARY PUBLIC

MY COMMISSION EXPIRES:_________________"

(B) THE FOLLOWING FORM MAY BE USED TO CREATE A TRUST BY
DECLARATION:

- 2073 -

E.

2.