GIFTS UNDER UNIFORM GIFTS TO MINORS ACT

I, _________(1)________, an adult person, as donor, hereby deliver to _________(2)________, as custodian for ______(3)______ under the Gifts to Minors Act of the State of _____(4)____, the property described in Exhibit "A" which is attached hereto and by

reference incorporated herein.

DATED: ________(5)________.

______________(6)______________

I, ________(7)_________, as custodian, hereby acknowledge receipt of the property described in Exhibit "A" which is attached hereto and by reference incorporated herein, as custodian for the above-named minor under the Gifts to Minors Act of the State of ______(8)_____.

DATED: ________(9)_______.

_____________(10)______________

EXHIBIT "A"

(Description of Property)

NOTICE

The information in this document is designed to provide an outline that you can follow when formulating business or personal plans. Due to the variances of many local, city, county and state laws, we recommend that you seek professional legal counseling before entering into any contract or agreement.

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