GIFT ANNUITY AGREEMENT One Life - Donor is the Annuitant Immediate PaymentsOhio • July 27th, 2005
Jurisdiction FiledJuly 27th, 2005This Agreement is made between Martin Juares, of 64 Mayflower Lane, Chatham, OH 54321 (hereinafter "the Donor"), and State Hospital Foundation, of 1001 Riverview Ave., Anywhere, OH 02138 (hereinafter "State Hospital Foundation").