To Whom It May Concern:
 

In the event of death, debilitating accident and/or legal incapacitation I/we ____________________________

and ___________________________ have set up a trust for any child or children born or adopted by us so

they may be cared for and they will receive the inheritance when they are _____  years old.  We have chosen

_____________________________ and __________________________ to be guardians.



Respectfully submitted,

________________________                                    ________________________________
Signature                                                                      Signature
________________________                                    ________________________________
print name                                                                    print name

________________________                                    ________________________________
Date                                                                             Date

Witness ___________________________________
Signature
__________________________________________
Print