DECLARATION OF TR UST
I, ____________________, of legal age, with address at ________________________, after
having been duly sworn in accordance with law, DO HEREBY declare as under:
That I am the holder of a total of ___________ (_______) shares of the capital stock of
____________________________________________ (the “Corporation”) in trust for, or for the
benefit of, ___________________________ ("Trustor");
That the herein Trustor now wants to fully exercise its right over the above-mentioned
shares;
That by virtue of this declaration, any and all rights pertaining to the above-mentioned
share shall now be vested in the Trustor or a new Trustee it may designate and that we do
hereby request and direct the Corporation or its authorized Transfer Agent to cancel the herein
attached certificates of stock issued in our names as Trustee and therefore issue a new certificate
in the name of the Trustor herein, or whoever is named as the new Trustee.
IN WITNESS WHEREOF, we have signed this Declaration of Trust this ____ day of
_________________ , 20_____ at __________________________________.
___________________________________
Trustee
Signed in the presence of:
______________________ ______________________
ACKNOWLEDGEMENT
BEFORE ME, Notary Public for and in the City of ______________, Republic of the
Philippines, personally came and appeared:
Name Passport/TIN/CTC No. Date and Place Issued
____________________ _________________ __________________
known to me and to me known to be the same person who executed the foregoing Declaration
of Trust consisting of two (2) pages, and they acknowledged to me that the same is his free and
voluntary act and deed.
WITNESS MY HAND AND SEAL this _____ day of ____________ 20___, at
_______________________ , Metro Manila, Philippines.
Doc. No.:
Page No.:
Book No.:
Series of 20____.