Form 1

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CUSTODIAL TRUSTEE’S RECEIPT AND ACCEPTANCE I, . . . . . . . . . . . . . . (name of custodial trustee), acknowledge receipt of the custodial trust property described below or in the attached instrument and accept the custodial trust as custodial trustee for . . . . . . . . . . . . . . (name of beneficiary) under the Arkansas Custodial Trust Act. I undertake to administer and distribute the custodial trust property pursuant to the Arkansas Custodial Trust Act. My obligations as custodial trustee are subject to the directions of the beneficiary unless the beneficiary is designated as, is, or becomes incapacitated. The custodial trust property consists of . . . . . . . . . . . . . . . .

Dated: . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . .

(Signature of Custodial Trustee)

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