STATE OFTENNESSEE
COUNTY OF ______________
On this the _____ day of _____________, 20____, before me, personally appeared ______________ as Trustee of the _____________ Trust, to me known to be the person described in and who executed the foregoing instrument, and who acknowledged the execution of same as his free act and deed.
IN WITNESS WHEREOF, I have hereunto set my hand and notarial seal.
______________________________________
NOTARY PUBLIC
My Commission expires:
_____________________________
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