Deed Of Gift Of Donor's Life Estate In Publicly Traded Securities

DEED OF GIFT made on [date] by [name], residing at [address] (the Donor) and [name of institution], a nonprofit institution chartered by the State of [State], having its principal offices at [address] (the Donee).

WHEREAS, pursuant to the Last Will and Testament of [name], the Donor's mother, the Donor was the recipient of a life interest in [number] shares of the common stock of the [name of corporation] (the Stock); and

WHEREAS, said Last Will and Testament of [name] was admitted to probate on [date] in the ---------- Court in and for the County of [County], State of [State]; and

WHEREAS, the Estate of [name] was settled on [date] and the Donor's life estate in the Stock was conveyed to the Donor; and

WHEREAS, the Donor wishes to donate his life estate in the Stock to the Donee

NOW, THEREFORE, KNOW ALL MEN BY THESE PRESENTS THAT:

1. Gift. The Donor hereby transfers and delivers to the Donee, its successors and assigns of all the Donee's right, title, and interest in and to [number] shares of the common stock of the [name of corporation] represented by Stock Certificates numbered [number] and [number].

2. Stock Power. Simultaneously with the execution of the Deed of Gift, the Donor has executed and delivered to the Donee a stock power suitable for filing with the [name of corporation's] (transfer agent empowering the agent to make the requisite transfer of the Donor's life estate in the Stock to the Donee.

IN WITNESS WHEREOF the Donor has signed this Deed of Gift the day and year first above written.

[signature]

Donor

[Acknowledgements]

ACCEPTANCE

The above described gift is accepted by [name of institution].

Dated: [date]

[name of institution]

By: [signature]

[title]

[Acknowledgements]

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