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DECLARATION OF LIFE INSURANCE TRUST
This Declaration of Insurance Trust is made this __(1)__ day of __(2)__, 19 _(3)_, by and between (4), of (5), hereinafter called the Trustor, and (6), of (7), hereinafter called the Trustee.
I.
The Trustor, as owner of certain life insurance policy or policies listed below, and desiring to establish a Life Insurance Trust, with power in the Trustee upon the death of the Trustor to purchase assets from Trustor's estate, assigns to the Trustee all his right, title, and interest in the policy or policies of insurance, to be held by Trustee in trust, and to receive the
proceeds of the policy or policies of insurance when they become due and are paid, for the
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