COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.IRREVOCABLE TRUST AGREEMENTCalendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)This Agreement, entered into thisday ofby,and between JAMES CISSELL, PROBATE JUDGE, COURT OF COMMON PLEAS, HAMILTON COUNTY, OHIO, as Grantor pursuant to the statutory authority of Ohio. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .as Revised Code Section 2125.03, andTrustee.PEOPLE OF THE STATE OF NEW YORKTrust Property. The Grantor desires to create a trust authorized by Section 1Ohio Revised Code Section 2125.03 for the purpose of receiving the sum ofSaid sum is the proceeds from the wrongful.GREETINGS:death settlement due and payable totheWE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the Honorable,child oflocated at County of.o'clock in the day ofnoon, and at any recessed room, on the, 20, at adjourned date, to testify and give evidence as a witness in this action on the part of theSection 2. Disposition of Trust Property.The sole beneficiary of said trust,is to receive the principal and accumulatedYour failure to comply with this subpoena is punishable as a contempt of court and will make you liable to party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a of your failure to comply., one of the Justices of theundistributed net income from the trust when he/she attains the age of twenty-five (25) years. The Trustee, may, if the beneficiary attends a college, technical school, or other accredited institution of higher education, use the trust estate to pay the tuition, fees room and board, and other expenses associated with the beneficiary attending such school only with the permission of the Court.in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)Attorney(s) forAdditionally, the Trustee may also apply to the Court for permission to expend such amounts of the accumulated income and/or principal of the trust estate as the Trustee deems necessary to provide for the beneficiary's health, education, comfort, maintenance and support, or to meet any emergency expense of the beneficiary. Funds may be expended for the foregoing items in the paragraph only upon theOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:02/10/03H.C. FORM 124.50 -IRREVOCABLE TRUST AGREEMENT Page 1 of 2American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .CASE NO.:::::::Index No.approval of the Probate Court.Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)Section 3. Trustee's Responsibility and Authority. The Trustee shall invest the trust funds as provided under Ohio Revised Code Section 2109.37, 2109.371 and. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2109.372. Further, the Trustee shall have the authority to pay all income annually as is necessary to pay taxes on said income, college tuition and expenses, and to pay any other expenses incurred as a result of his/her duties under the Trust, including his/her fiduciary bond. The Trustee shall make accounts to the Court on a biennial basis, or atTHE PEOPLE OF THE STATE OF NEW YORK TOThe Trustee shall incur no liability in such other times as the Court may require.GREETINGS:handling the Trust estate, provided he/she exercises duties and responsibilities in a reasonable and prudent manner, and complies with the terms of this agreement. The Trustee accepts the Trust hereby created and agrees to carry out the provisions herein on her part to be done and performed, without compensation.WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomSection 4. Miscellaneous. The Trust being created shall be deemed to be an Ohio Trust, and shall be governed by the laws of the State of Ohio.Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply.IN WITNESS WHEREOF, The parties hereto have executed this Agreement induplicate as of the day and year first above written. WITNESSES:, one of the Justices of theCourt in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)JAMES CISSELL, Probate JudgeAttorney(s) forTrusteeOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comH.C. FORM 124.50 -IRREVOCABLE TRUST AGREEMENT Page 2 of 2
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