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(street address, city, county, state, zip code), hereinafter called the Donor, and (Name of Trustee 1) and (Name of Trustee 2), both of (street address, city, county, state, zip code), referred to herein as the Trustees. The Donor, in consideration of the agreements and undertakings made by the Trustees and other valuable consideration, does now assign, transfer, and set over to.

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