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LAWYERS PROFESSIONAL LIABILITY

                                                   ESTATE / TRUST SUPPLEMENT

         Firm Name:

Please complete this Supplement if any lawyer listed on the application shows a percentage in the Estate/Trusts area of practice.

1. Please list the five largest trusts to which any member of the firm provided legal services in the last 24 months.

         Name of                     Name of        Trustee/       Co-     Description/     Size of      Date       Annual      % of           Description of Services
          Trust                      Attorney       Personal    trustee?      Type          Trust/      Service      Firm       Firm                  Provided
                                                      Rep/         Y/N         Of          Value of        s        Billings   Billings
                                                    Executor                  Trust        Assets       Began
                                                      Y/N




1.   Does your firm have the authority to write checks, provide investment advice, make investments, or have discretionary control of funds?              Yes        No
     If quot;Yesquot;, please describe:
2.   Does the firm use engagement letters that clearly define the scope of the services that will be provided?                                            Yes        No
3.   Does a second firm member review all trust and estate documents drafted by a firm member?                                                            Yes        No
4.   Do firm members acting as Trustees/Personal Representatives/Executors engage in the following activities:
     a) Use of Trust funds to invest in entities related in any way to the firm?                                                                          Yes        No
     b) Employment by the Trust of anyone related in any way to a firm member?                                                                            Yes        No
     c) Use of Trust funds as loans to any firm client, firm member or person related in any way to a firm member?                                        Yes        No
     d) Delegation of Trustee duties to others?                                                                                                           Yes        No
     If yes to any of the above, please explain:




Signature of Authorized Firm Representative                 Title                                            Date
                                                                             Page 1 of 1

APLPL0004 (8/08)

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Estate Trust Supplement 04 Ap

  • 1. LAWYERS PROFESSIONAL LIABILITY ESTATE / TRUST SUPPLEMENT Firm Name: Please complete this Supplement if any lawyer listed on the application shows a percentage in the Estate/Trusts area of practice. 1. Please list the five largest trusts to which any member of the firm provided legal services in the last 24 months. Name of Name of Trustee/ Co- Description/ Size of Date Annual % of Description of Services Trust Attorney Personal trustee? Type Trust/ Service Firm Firm Provided Rep/ Y/N Of Value of s Billings Billings Executor Trust Assets Began Y/N 1. Does your firm have the authority to write checks, provide investment advice, make investments, or have discretionary control of funds? Yes No If quot;Yesquot;, please describe: 2. Does the firm use engagement letters that clearly define the scope of the services that will be provided? Yes No 3. Does a second firm member review all trust and estate documents drafted by a firm member? Yes No 4. Do firm members acting as Trustees/Personal Representatives/Executors engage in the following activities: a) Use of Trust funds to invest in entities related in any way to the firm? Yes No b) Employment by the Trust of anyone related in any way to a firm member? Yes No c) Use of Trust funds as loans to any firm client, firm member or person related in any way to a firm member? Yes No d) Delegation of Trustee duties to others? Yes No If yes to any of the above, please explain: Signature of Authorized Firm Representative Title Date Page 1 of 1 APLPL0004 (8/08)