FORM OF BEQUEST


“I give and bequeath free from and clear of all duties death, estate, succession or otherwise State or Federal payable upon by reason or in consequence of my death to the Muscular Dystrophy Association (Inc.) 111 Boundary Road North Melbourne VIC 3051 ABN 33 376 893 530.

………….. Dollars ($ ………….) or ………….. % of my estate for the General Purposes thereof AND I DECLARE that the receipt of a proper Officer thereof shall be a full and sufficient discharge to my Trustee for the said legacy and my Trustee shall not be responsible to see to the application thereof”.