RECEIPT BY BENEFICIARY ON FINAL DISTRIBUTION OF TRUST FUND

I have received from_______(Trustee), as trustee of the ___________ Trust and trustee of the ______ Trust what has represented to me by the Trustee to be a complete accounting of administration of Trust as of ______. In consideration of my receipts of account , I hereby approve, ratify and conform all of the acts and transactions of the Trustee set forth in the Account, and I accept the account as final and conclusive regarding the matters fairly represented therein.

Dated this ____ day of ____ 20__

Signature:

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