GIFT ANNUITY AGREEMENT One Life - Donor is the Annuitant Immediate PaymentsGift Annuity Agreement • July 27th, 2005 • Ohio
Contract Type FiledJuly 27th, 2005 JurisdictionThis 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").