Dated at

To the Honorable the Board of Regents of the University of California;
GENTLEMEN:-

19.......

I wish to donate to the University of California certain property which

I deliver to you at the time of the presentation of this letter.

As an additional evidence of my intent in the matter, I hereby state that it is my purpose to give and donate, and I do hereby give and donate to you, THE REGENTS OF THE UNIVERSITY OF CALIFORNIA, the following property:

(describing it specifically)

to hold the same in trust in a single fund to be called the

and bequeath to THE REGENTS OF THE UNIVERSITY OF CALIFORNIA the following property:

in trust for the benefit of the UNIVERSITY OF CALIFORNIA,

(naming it specifically)

(or, instead of the last clause, add)

to establish and endow a fund to be called the

FUND, the income only thereof (or principal) to be used for the following purposes:

(here state purposes in full)
(or, instead of last clause, add)

to be used for the benefit of the School of

(name school, college or department).

day of

State of

In Witness Whereof I have hereunto set my hand this 19. A.D., at the City of

(Signed)

The foregoing instrument was at the date thereof by the said

signed and published as his (or her) last will, in the presence of us, who at his (or her) request and in his (or her) presence and in the presence of each other have hereunto subscribed our names as witnesses thereto.

(Signed)

Residing at

(Signed)

Residing at