NEW YORK NOTICE OF ASSIGNMENT OF PROPERTY TO LIVING TRUST

I, * , as grantor, hereby provide Notice that all of the property listed on the attached Schedule of
Assets of Living Trust has been transferred to the * Living Trust on the date of *  .  

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Signature of Grantor
*
Printed Name of Grantor

Notary Acknowledgment

State of *
County of *
On * , * came before me personally and, under oath, stated that he or she is the person described
in the above document and he or she signed the above document in my presence. I declare under
penalty of perjury that the person whose name is subscribed to this instrument appears to be of
sound mind and under no duress, fraud, or undue influence.
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Notary Public
My commission expires *