Form 1

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TRANSFER UNDER THE ARKANSAS CUSTODIAL TRUST ACT I, . . . . . . . . . . . . . . (name of transferor or name and representative capacity if a fiduciary), transfer to . . . . . . . . . . . . . . (name of trustee other than transferor), as custodial trustee for . . . . . . . . . . . . . . (name of beneficiary) as beneficiary and . . . . . . . . . . . . . . as distributee on termination of the trust in absence of direction by the beneficiary under the Arkansas Custodial Trust Act, the following: . . . . . . . . . . . . . . . . . . . . . . . . . . . . (insert a description of the custodial trust property legally sufficient to identify and transfer each item of property)

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

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

(Signature)

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