Fillable Printable Trustee Amendment Sample Form
Fillable Printable Trustee Amendment Sample Form
Trustee Amendment Sample Form
Dear Fidelity Personal Trust Company, FSB:
I/We enclose a fully executed copy of the Trustee Amendment for your records. I/We would also like to
provide you with the information listed below.
1. Choose one:
I/We have already submitted my/our Trust instrument and all amendments to Fidelity Personal Trust
Company, FSB.
OR
I/We also enclose my/our Trust instrument and all amendments.
2. For your records, my/our current name, address, and telephone number are as follows:
Name:
Address:
Telephone Number:
3. I/We also have the following accounts with Fidelity Investments:
Account numbers:
Assuming you do not have any comments concerning the enclosed, I/we will expect to receive a letter
acknowledging our submission within the next few weeks.
Sincerely,
Name
The following Trustee Amendment is an instrument with significant implications for your
Trust, and should be reviewed by your attorney. You are advised against executing this
Trustee Amendment without consulting your attorney. Fidelity will not revise the Trustee
Amendment. Any desired changes to the Trustee Amendment must be prepared by your
attorney and should be forwarded to Fidelity for approval before execution.
Fidelity Personal Trust Company, FSB
Trustee Checklist
Below are step-by-step instructions for completing the Trustee Amendment on pages 1 to 9.
You are advised to have your attorney assist you with executing the Trustee Amendment. Please make a copy of the
completed Trustee Amendment for your records.
On the first page of the Trustee Amendment, please fill in the name and date of your original Trust
agreement, as well as the name(s) of the Current Trustee(s) of your Trust, where appropriate.
Under Section A of Part I, you must indicate whether you wish FPTC to serve as a Current Trustee or as a
Future Successor Trustee by checking the appropriate box.
Under Section B of Part I, you have the option of naming one or more individual Co-Trustee(s) to serve with
FPTC and any then remaining Current Trustees.
Under Part II are the Additional Administrative Provisions, which will apply while FPTC is serving as
Trustee. In part, these administrative provisions allow an entity affiliated with FPTC to serve in a variety of capacities,
such as investment manager, advisor, custodian, or transfer agent, and to receive compensation for such services.
Under Part III is the Signature of Grantor section. Please date the Trustee Amendment, and have
each Grantor (if there is more than one) sign in the presence of two disinterested witnesses, who also must sign the
document. Certain states may require Trusts to be executed according to specific requirements. Consult your attorney
regarding your own situation.
Under Part IV is the Notarization Section. Residents of all states except Florida and California should
complete Section A of Part IV. Florida residents should complete Section B and California residents should complete
Section C. Please note that certain states may require the document to be notarized in state-specific ways. Consult
your attorney regarding your own situation.
If FPTC will be acting as Trustee immediately, please send us (i) your original Trust document, (ii) the signed original
of this Trustee Amendment, as well as (iii) any other amendments to FPTC for safekeeping. If FPTC will be acting
as a Trustee at some point in the future, please send us a copy of (i) your original Trust Agreement, (ii) this Trustee
Amendment, and (iii) any additional amendments for our records.
The Grantor is responsible for delivering a copy of the Trustee Amendment to the Current Trustee(s) of
the Trust.
(Continued)
Fidelity Personal Trust Company, FSB
Trustee Amendment
There may be significant estate tax or estate planning issues arising from your use of this document, and the
law prohibits Fidelity Personal Trust Company, FSB (“FPTC”), from providing tax or legal advice with respect
to such use. This document should not be viewed as a substitute for proper estate planning, and you are advised
against executing the instrument without consulting your attorney. This instrument may not be revised by you
without the consent of FPTC, and any desired amendment must be prepared by your attorney and forwarded to
FPTC for approval.
This document is not intended to be, and should not be construed as, (i) a recommendation, (ii) legal or tax
advice, or (iii) a legal opinion. Fidelity does not provide legal or tax advice. Laws of a particular state or laws
that may be applicable to a particular situation may impact the applicability, accuracy, or completeness of this
document. Federal and state laws and regulations are complex and are subject to change. Always consult an
attorney or tax professional regarding your specific legal or tax situation.
Fidelity makes no warranties with regard to the document provided or results obtained by its use. Fidelity
disclaims any liability arising out of your use of, or any tax position taken in reliance on, this document or
its contents.
Execution Instructions
You are required to sign this document in the presence of two disinterested witnesses and
a notary public, who must also sign. A “disinterested witness” is an adult who has no
interest under the Trust Agreement. For example, a spouse or child should generally not
act as a witness.
Notarization Instructions
Certain states may require Trusts to be executed according to specific requirements.
Residents of those states may be required to have the document witnessed and notarized in
state-specific ways. Consult your attorney regarding your own situation.
Improper execution may result in this Trustee Amendment being invalidated.
WhereAS, the undersigned, as Grantor(s) (hereinafter the “Grantor”), established a revocable Trust by an
instrument titled ______________________________________; and
WhereAS, said instrument was executed on _______________________________, and may have been
amended from time to time (the “Trust”); and
WhereAS, the name(s) of the currently serving Trustee(s) is/are __________________________________
______________________________________________________________________________________;
and
WhereAS, the Grantor reserved the power in the Trust to alter, amend, and/or revoke its provisions; and
WhereAS, the Grantor wishes to (i) designate Fidelity Personal Trust Company, FSB (“FPTC”) as a Current
or Successor Trustee, and (ii) add certain provisions governing the administration of the Trust;
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NoW ThereFore, the Grantor hereby amends the Trust as follows:
I. APPOINTMENT OF TRUSTEE
A. Please check one of the following:
1. Appointment of FPTC as Current Trustee
The Grantor hereby designates Fidelity Personal Trust Company, FSB (“FPTC”), to serve as current
Trustee in the following capacity (please check one box):
Current Sole Trustee
Current Co-Trustee with the currently serving Trustee(s)
Current Co-Trustee with the following individual(s): ______________________________
_______________________________________
OR
2. Appointment of Successor Trustee
• The Grantor hereby designates Fidelity Personal Trust Company, FSB (“FPTC”), to serve as
Successor Trustee, and such designation shall supersede the appointment of any other Successor
Trustee named in the Trust.
•TheappointmentofFPTCasSuccessorTrusteeshallbecomeeffectiveupon(please check one box
and fill in appropriate information):
the death, resignation, incapacity, or removal of all of the currently serving Trustees
the death, resignation, incapacity, or removal of the following named Trustee(s):
________________________________________________________________________,
and FPTC shall serve as Co-Trustee with the then currently serving Trustee(s)
B. Optional Appointment of Individual Co-Trustee(s)
Please complete below if you wish to appoint one or more individual Co-Trustee(s) to serve with FPTC and
any then remaining Current Trustee(s) after a particular event has occurred.
•TheGrantorherebydesignates___________________________________toserveasCo-Trustee(s)
with FPTC and any then currently serving Trustee(s).
•TheGrantorherebydesignatesFPTCasaCo-Trusteetoservewiththeindividual(s)namedin
Article ____, Section _____ pursuant to the terms of said Section.
•TheappointmentofsuchCo-Trustee(s)shallbecomeeffectiveupon(please check one box and fill
in the appropriate information):
FPTC accepting its appointment as Trustee
the death or incapacity of the Grantor (or both Grantors if there is more than one)
the death or incapacity of ______________________________
(Continued)
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II. ADDITIONAL ADMINISTRATIVE PROVISIONS
The Grantor hereby adds the following provisions to the Trust:
SPECIAL PROVISIONS FOR FIDELITY PERSONAL TRUST COMPANY, FSB
Notwithstanding anything to the contrary elsewhere in this instrument and in addition to all other powers
granted by law or provided in the Trust, during any period in which Fidelity Personal Trust Company, FSB, or
any other Corporate Trustee (hereinafter collectively referred to as “FPTC”), acts as a Trustee under this Trust,
FPTC shall have the following powers and exercise the same in its sole and absolute discretion without court
order or approval:
A. Entities. FPTC may engage and pay any person, corporation, or other entity that may or may not be
affiliated with FPTC (“Entity”) (i) to provide services to any Trust hereunder, including acting as investment
manager or advisor, custodian, transfer agent, registrar, sponsor, underwriter, and/or distributor, and to pay
for any such services from the Trust property, and (ii) to invest in shares of one or more open-ended invest-
ment companies (so-called mutual funds or money market funds), or exchange-traded funds for which an
Entity may render such services and for which FPTC and/or the Entity may receive compensation, even if
said Entity is affiliated with FPTC.
B. Compensation. FPTC shall receive compensation for services rendered in accordance with its published
fee schedule in effect at the time such compensation becomes payable, without reduction for any other com-
pensation paid to FPTC, an affiliate of FPTC, or any person, Trustee, or entity, unless otherwise noted on its
fee schedule; and any entity affiliated with FPTC may receive compensation without reduction for any other
compensation paid to FPTC, another affiliate of FPTC, any person, Trustee, or entity.
C. Investment Responsibility. FPTC shall have sole responsibility for the supervision and character of the
investments held in any Trust of which it is acting as Trustee, and for all decisions as to the retention, disposi-
tion, distribution, investment, reinvestment, or other administration of such Trust assets.
D. Resignation, Appointment, and Removal of Trustees. FPTC may resign at any time without court
approval by written notice to another Trustee, if any, and, if none, to the then competent income beneficiaries.
Unless otherwise provided in the Trust, in the event of a vacancy in the office of Trustee or Special Trustee, a
Successor Trustee shall be appointed by the then competent income beneficiaries, if any, or, if none, by FPTC,
and each person or entity so appointed shall become Trustee upon written acceptance of said office. Each addi-
tional or Successor Trustee shall have the same powers, authority, and discretion given to the Trustees originally
named. No bond shall ever be required of FPTC or, if a bond is required by law, then no surety shall be required
thereon. The Special Trustee, if any, may be removed by written instrument signed by the then competent
income beneficiaries, if any, or, if none, by FPTC, and delivered or mailed to such Special Trustee.
(Continued)
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E. Delegation of Authority. A Trustee (including a Special Trustee) may delegate any part or all of such
Trustee’s powers to another Trustee, or any person, to the extent specified in an instrument signed by the
delegating Trustee and delivered or mailed to the delegatee, provided, however, that this provision shall not
authorize any Trustee or person to participate by delegation in the exercise of a power that the Trustee or
person would otherwise be prohibited from holding.
F. Incapacity. Unless otherwise provided in the Trust, if FPTC is notified in writing by a licensed physi-
cian who is not related to the Grantor that the Grantor is not capable of managing his or her affairs during
such time as the trust is revocable, FPTC may pay to the Grantor for the Grantor’s benefit or for the benefit
of the Grantor’s spouse and/or issue, if any, as much income or principal of the Trust (and in such propor-
tions among such persons) as FPTC deems advisable for the health, education, maintenance or support of
the Grantor, the Grantor’s spouse and/or the Grantor’s issue. Any net income not so paid shall be added from
time to time to principal. A representation by a physician that he or she is not related to the Grantor shall be
conclusive evidence of a lack of a relationship.
FPTC shall be entitled to rely conclusively upon, and shall incur no liability to any person for any action
or non-action taken in good faith in reliance upon, any instructions or directions of an authorized agent
(“Agent”). “Agent” means the person or persons authorized by the Grantor in any written document, includ-
ing but not limited to a Durable Power of Attorney. FPTC shall have no duty to question the authority of any
such Agent.
G. Liability. Neither FPTC nor any of its directors, officers, employees, or affiliates shall be liable to the
Grantor, the Grantor’s successors or assigns, or any other current or future beneficiary of this Trust for any
good faith acts or omissions, including any liability or expense incurred as a result of a violation of any envi-
ronmental law or regulation with respect to any real property owned by the Trust. FPTC shall have no duty or
responsibility to inquire into the actions or accounts of any Predecessor Trustee, nor shall it have any liability
for the actions or omissions of its predecessor.
H. Tangible Personal Property. Unless FPTC has physical custody of any tangible personal property held
in Trust, FPTC’s sole responsibility with regard to tangible personal property shall be limited to holding bare
legal title to such property. FPTC shall have no responsibility or liability whatsoever for the management,
care, and/or protection of such property.
I. Accounting. The Trustee shall provide periodic accounts to the then competent income beneficiaries and
to the parent or guardian of any then incompetent income beneficiary (collectively referred to as “income
beneficiaries”). The Grantor expressly waives, to the extent permitted by law, the delivery of accounts to any
beneficiary other than the income beneficiaries. Unless otherwise prohibited by law, each of the then income
beneficiaries will be deemed to have acquiesced to any such account unless FPTC has received a written
objection within 90 days after the mailing of such account (or the maximum number of days permitted by law).
J. Special Asset Trust. Unless otherwise assented to by written instrument, FPTC will not accept any asset
that does not meet its current standards for acceptance. Any property owned by the Trust but not accepted
by FPTC shall be held and administered under the terms of the Trust by a Special Trustee, who may receive
compensation for its services, in a Separate Trust referred to as the “Special Asset Trust” followed by the name
of the Trust. The provisions relating to the appointment and removal of Trustees in the Trust shall govern the
appointment and removal of the Special Trustee. FPTC and the Special Trustee may, in their sole discretion,
(Continued)
4
pay, loan, or advance funds to the other, and neither shall have a duty to inquire into the use of any such
transferred funds nor to oversee their application. The Special Trustee shall from time to time transfer accept-
able assets of the Special Asset Trust to FPTC, which are not necessary for the proper administration of the
Special Asset Trust, including rent, royalties, interest, dividends, and other income.
K. Residential Real Property. During such time as the trust is revocable and the Grantor is living, FPTC’s
sole responsibility with regard to any residential real property held in Trust shall be to hold bare legal title to
such property. Notwithstanding the foregoing, if (i) the Grantor requests by written instrument that FPTC
shall assume responsibility with respect to such property, (ii) FPTC has actual notice or knowledge of the
Grantor’s incompetence, (iii) the Grantor has died, or (iv) the trust is irrevocable, FPTC shall assume respon-
sibility by written instrument for the management, care, and protection of any such property, including the
payment of all expenses to maintain or sell the property, such as mortgage payments, utilities, real estate taxes
and assessments, insurance (casualty and liability), repairs, association fees, brokerage fees, lawyers’ fees, and
all other similar costs, and take any action that FPTC deems necessary to prevent or respond to any violation
or potential violation of any environmental law or regulation applicable to such property, including employ-
ing agents, consultants, and legal counsel to assist with such action. FPTC shall have no liability for any loss
or depreciation in the value of any such real estate. Unless stated otherwise in this instrument, FPTC, in its
absolute and uncontrolled discretion, may permit any one or more of the beneficiaries to possess, use, and
enjoy any such residential real estate, the unequal treatment of one or more of the beneficiaries being hereby
expressly authorized. Neither FPTC nor any of its directors, officers, employees, or affiliates shall be liable to
the Grantor, the Grantor’s successors or assigns, or any other current or future beneficiary of this Trust for any
liability or expense incurred as a result of a violation of any environmental law or regulation with respect to
any real property owned by the Trust.
L. Governing Law and Situs. Unless otherwise provided in the Trust, the Trust shall be determined and
construed in accordance with the laws of the Trust’s place of execution if the Grantor is living, or, if the
Grantor is deceased, in accordance with the laws of the Grantor’s domicile at death. Unless otherwise prohib-
ited by law, FPTC, acting from time to time and without court approval, may transfer the situs of any trust to
any jurisdiction within the United States.
M. De Minimus Termination. Notwithstanding anything to the contrary elsewhere in this instrument,
FPTC may, in its sole discretion, terminate any Trust or Separate Trust estate if the principal of such Trust or
Separate Trust estate is less than $75,000, and/or if FPTC deems the continued administration of such Trust
to be inadvisable.
N. Capital and Surplus. Notwithstanding any provision to the contrary in this instrument, if the Trust
instrument requires a Current or Successor Corporate Trustee to meet a specific capital and surplus require-
ment, then that requirement shall be ten million dollars.
(Continued)
5
O. Special Needs Trusts. Notwithstanding any provision to the contrary in this Trust, if the Corporate
Trustee is granted the authority to make discretionary distributions of income and/or principal for the special
needs of a beneficiary that is not otherwise provided by government financial assistance and benefits, FPTC
may appoint a Co-Trustee (hereinafter referred to as the “individual Co-Trustee”) if one is not currently serv-
ing and there are no other provisions in the document authorizing such appointment, wherever FPTC, in its
sole and absolute discretion, deems it necessary, and the following provisions shall apply:
1) The individual Co-Trustee shall have sole responsibility for ensuring that distributions to or on behalf of
one or more beneficiaries do not render the beneficiary ineligible for Medicaid, Social Security income, or
any other governmental or private benefits that the beneficiary otherwise may be entitled to receive;
2) The individual Co-Trustee shall have sole responsibility for directing FPTC as to the timing, amount,
and frequency of all discretionary distributions to or on behalf of the beneficiary, and FPTC has no duty to
inquire into the appropriateness of any such distributions;
3) The individual Co-Trustee shall have sole responsibility for determining whether the beneficiary is eli-
gible to participate in any public or private programs and/or receive any benefits from such programs, and
for taking whatever action is necessary to participate in such programs and/or receive such benefits;
4) The individual Co-Trustee may retain a person or entity to assist the individual Co-Trustee with his or
her responsibilities as set forth above, and such person or entity may be paid reasonable compensation for
providing such service from the Trust assets, the payment of which shall not reduce the compensation any
Trustee is otherwise entitled to receive;
5) FPTC shall be entitled to rely absolutely upon any direction (whether verbal, written, or electronic)
given to FPTC by the individual Co-Trustee or any person or entity retained to assist the individual
Co-Trustee, and FPTC shall have no duty to inquire into the accuracy or appropriateness of any such
direction. FPTC shall have no liability for any action taken or omitted pursuant to such direction, whether
or not such direction results in the loss of benefits or the failure to obtain all possible benefits;
6) Whenever there is no individual Co-Trustee serving with FPTC, FPTC is authorized to retain a person or
entity to assist FPTC with its responsibilities that would otherwise be the responsibilities of the individual
Co-Trustee as set forth above. FPTC shall be entitled to rely absolutely upon any direction by such person
or entity and shall have no duty to inquire into the accuracy or appropriateness of any such direction. FPTC
shall have no liability for any action taken or omitted pursuant to such direction, whether or not such direc-
tion results in the loss of benefits or the failure to obtain all possible benefits. Such person or entity may be
paid reasonable compensation for providing such service from the Trust assets, the payment of which shall
not reduce the compensation any Trustee or affiliate of any Trustee is otherwise entitled to receive.
Except as amended by the foregoing provisions of this Trustee Amendment, the Grantor confirms the Trust in
all respects.
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III. SIGNATURE OF GRANTOR
Please refer to the Execution Instructions on page 1 of this Trustee Amendment before signing below.
IN WITNESS WHEREOF, the Grantor signs, seals, publishes, and declares this instrument to be an amendment to
the Grantor’s Trust in the presence of the persons witnessing it at the Grantor’s request, on this ________ day of
_____________________, 20____.
Signature of first Grantor Signature of second Grantor (if any)
The foregoing was signed, sealed, published, and declared by
Print name of first Grantor
and to be an amendment to the Grantor’s Trust, in our presence and
Print name of second Grantor
we, at the Grantor’s request and in the Grantor’s presence, and in the presence of each other, hereunto subscribe our
names as witnesses on the date last above mentioned.
Print name of witness
Signature of first witness
Residing at
Print name of witness
Signature of second witness
Residing at
IV. NOTARIzATION
Please complete one of the following notarization sections. Florida residents, please complete Section B. California residents,
please complete Section C. Residents of all other states, please complete Section A.
A. Non-Florida and Non-California residents. Please complete the following
notarization section.
State of
County of
On , 20___, before me, ,
Insert name and title of the notary
personally appeared , personally known to me
Insert name of the Grantor(s)
(or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to
the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s), or the entity upon behalf of
which the person(s) acted, executed the instrument.
WITNESS my hand and official seal.
(Seal)
Signature of Notary
My commission expires:
7
B. Florida Residents. Please complete the following notarization section.
I/We, and , declare to
Print name of first Grantor Print name of second Grantor (if any)
the officer taking my/our acknowledgment of this instrument, and to the subscribing witnesses, that I/we signed this
instrument as my/our amendment.
Signature of first Grantor Signature of second Grantor (if any)
We, and , have been
Print name of first witness Print name of second witness
sworn by the officer signing below, and declare to that officer on our oath that the Grantor(s) declared the instrument
to be the Trust of the Grantor(s) and signed it in our presence and that we each signed the instrument as a witness in
the presence of the Grantor(s) and of each other.
Signature of first witness Signature of second witness
Acknowledged and subscribed before me by the Grantor(s), ,
Print name of first Grantor
who is personally known to me or who has produced
Print type of state identification
as identification and , who is personally known to me or who has
Print name of second Grantor (if any)
produced as identification, and sworn to and
Print type of state identification
subscribed before me by the witnesses, , who is personally
Print name of first witness
known to me or who has produced as identification,
Print type of state identification
and , who is personally known to me or who has produced
Print name of second witness
as identification, and subscribed by me in the presence
Print type of state identification
of the Grantor(s) and the subscribing witnesses, all on this day of , 20 .
WITNESS my hand and official seal.
(Seal)
Signature of Notary
My commission expires:
8
C. California Residents. Please complete the following notarization section.
State of California
County of
On before me, ,
(Here insert name and title of the officer)
personally appeared , who proved to me on the basis of
satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to
me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on
the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify
under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.
WITNESS my hand and official seal.
(Notary Seal)
Signature of Notary Public
Fidelity Personal Trust Company, FSB
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449514.10.0 1.922205.102
Fidelity Personal Trust Company, FSB, a Fidelity Investments company, is a federal savings bank. Nondeposit investment products offered through
Fidelity Personal Trust Company, FSB, and its affiliates are not insured or guaranteed by the Federal Deposit Insurance Corporation or any other
government agency, are not obligations of any bank, and are subject to risk, including possible loss of principal. These services provide discretionary
money management for a fee.
Brokerage services are provided by Fidelity Brokerage Services LLC, 900 Salem Street, Smithfield, RI 02917, a Fidelity Investments company and a Member
of NYSE and SIPC. Custody and other services are provided by National Financial Services LLC, a Fidelity Investments company and a Member of NYSE
and SIPC.
