Stock Will Form - Blue
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1Return this form to:
Attention Shareholder Relations
NINILCHIK NATIVES ASSOCIATION, INC.
Ninilchik Natives Association, Inc.
STOCK WILL
FORM
PO Box 39130
Ninilchik, Alaska 99639
INHERITORS
UPON MY DEATH, I give, devise, and bequeath my Ninilchik Natives Association, Inc. shares to the following person(s) in
the amount(s) set forth:
Last Name
First Name
Middle Initial
Suffix (Sr./Jr.)
Number of Shares to be Given
Address
City
State
Zip
Last Name
First Name
Middle Initial
Suffix (Sr./Jr.)
Number of Shares to be Given
Address
City
State
Zip
Last Name
First Name
Middle Initial
Suffix (Sr./Jr.)
Number of Shares to be Given
Address
City
State
Zip
Last Name
First Name
Middle Initial
Suffix (Sr./Jr.)
Number of Shares to be Given
Address
City
State
Zip
Last Name
First Name
Middle Initial
Suffix (Sr./Jr.)
Number of Shares to be Given
Address
City
State
Zip
If any of the above persons is/are under the age of 18 when I die, I nominate the following person(s) as the custodian for their
shares: _________________________________________________________________________________________________
________________________________________________________________________________________________________
CERTIFICATION
In accordance with Alaska Statutes 13.16.705, this is my last will and testament for purposes of distributing my Ninilchik Natives
Association, Inc. stock. This document must be signed before a Notary in order for it to be effective.
Last Name
First Name
Middle Initial
Suffix (Sr./Jr.)
DOB: month/day/year
/
/
Date
__________________________________________________________________________
Signature
SUBSCRIBED AND SWORN BEFORE ME THIS
DAY OF
20
.
(Seal)
By:_________________________________________________________________________________________
Notary Public
My Commission Expires:_________________
_____
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