Form Lt-1 - Uniform Application To Offer Or Sell Living Trusts

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FORM LT-1
Page 1
Uniform Application to Offer or Sell Living Trusts
This filing is: ___ an initial application
___ an amendment
1.
Applicant's full name:
2.
Name under which business is conducted, if different:
3.
If business name is being amended, give previous name:
4.
Principal place of business (Number and Street - Do not use PO Box)
(City)
(State)
(Zip)
5.
Hours business is conducted at this location:
Telephone number
(Area Code)
(Telephone No)
at this location:
from
to
6.
Mailing address if different
(Number and street or PO Box)
(City)
(State)
(Zip)
from address given in 4:
7.
If books and records required by Section 905 of the Living Trust Act are kept somewhere other than at the principal
place of business given in Item 4, give the following information:
Name and address of entity where books and records are kept:
(Number and Street)
(City)
(State)
(Zip)
Hours business is conducted at this location:
Telephone number
(Area Code)
(Telephone No)
at this location:
from
to
EXECUTION
The undersigned and applicant represent that the information and statements contained herein, including
attached schedules, exhibits, and other information filed herewith, are current, true and complete. The
undersigned and applicant further represent that, to the extent that any information previously submitted
is not amended, such information is currently accurate and complete.
Date:
Name of applicant:
By: (Signature)
Typed Name and Title:
Orig. 10/97

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