Fill and Sign the California Certificate of Trust by Individual California Form

Prepared By and After Recording Return to: ________________________________ ________________________________ ________________________________ ________________________________ ) ) ) ) ) ) ) ) ) ) ) -------- Above This Line Reserved For Official Use Only---------------- CERTIFICATE OF TRUST (Individual Trustee(s)) STATE OF CALIFORNIA COUNTY OF ______________ The undersigned Trustee(s), being first duly sworn, on oath state: 1. The name of the trust is _________________________________________________; 2. The date of the trust instrument is _________________________________________; 3. The name of each grantor is: _____________________________________________________________________ _____________________________________________________________________; 4. The powers of the trustee(s) and the signature authority required to act are: Powers Signature Authority ______________________________ All One Two Other ________ ______________________________ All One Two Other ________ ______________________________ All One Two Other ________ ______________________________ All One Two Other ________ 1 ______________________________ All One Two Other ________; 5. The name and address of each trustee empowered to act under the trust instrument at the time of execution of this certificate: Name _________________________ Address __________________________ ___________________________ ___________________________ Name _________________________ Address __________________________ ___________________________ ___________________________ Name _________________________ Address __________________________ ___________________________ ___________________________ 6. The trustees are authorized by the instrument to sell, convey, pledge, mortgage, lease, or transfer title, to any interest in real or personal property, except as limited by the following: (if none, so indicate): _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________; 7. Additional trust provisions: (provisions included by the grantors or trustees; if none, so indicate) _____________________________________________________________________ _____________________________________________________________________ _________________________________________________________________, and 8. The trust instrument has not been terminated, revoked, modified or amended in any manner which would cause the representations contained herein to be incorrect. 2 9. Any person may rely upon this Certificate of Trust as proof of the existence of the Trust, and is relieved of any obligation or duty to verify that any transaction entered into by the Trustee(s) is consistent with the terms and conditions of the Trust. 10. This Certificate of Trust is executed as evidence of the existence of the Trust, the terms and conditions of which are incorporated herein by reference. By the terms of the Trust, in the event of the death, resignation, or incapacity of the Primary Trustee(s), the Successor trustee(s) shall become acting trustee(s) without further act, bond, or order. 11. The Trust Identification Number, whether a social security number or employer identification number, is: ________________________________. 12. Title to trust assets shall be taken in the following manner: ______________________ _____________________________________________________________________. 13. This Certificate of Trust is signed by all currently acting trustees of the Trust. The statements contained in this Trust Certificate are true and correct and there are no other provisions in the trust instrument, or amendments to it, that limit the powers of the trustees to sell, convey, pledge, mortgage, lease, or transfer title to interests in real or personal property. Date: ___________________ Signature of Trustee _____________________________ Print Name ____________________________________ Signature of Trustee _____________________________ Print Name ____________________________________ Signature of Trustee _____________________________ Print Name ____________________________________ State of California County of Subscribed and sworn to (or affirmed) before me on this day of , 20 , by , proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. Signature (Seal) 3 State of California County of On before me, (here insert name and title of the officer), personally appeared , who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature (Seal) State of California County of On before me, (here insert name and title of the officer), personally appeared , who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. Signature (Seal) 4