Fill and Sign the Certificate of Formation of Sungard Trust Systems Llc

Contractor’s Certification Page 1 of 2 CONTRACTOR'S CERTIFICATION –CORPORATION or LLC (25 Del. C. §2707) COMES NOW, the undersigned affiant, as a representative of ____________________________________, a ____________________ business entity and would state the following: 1.The above-mentioned company has provided labor or materials to the construction project at _________________________________________________________________.2.Said property is owned by __________________________________, and is intended for use solely as a residence by said owner.3.The undersigned has paid in full for all labor performed and materials furnished, and/or has provided a written release of mechanics’ lien signed by all parties who might be entitled to a lien against the above-mentioned property. This the _____ day of _________________, 20 ______. _________________________________Name of CompanyBy: _________________________________ _____ Signature Title ________________________________Type or Print NameState of DelawareCounty of ___________________________________________________(Date) ______________________________ (Name(s) of person(s)) This instrument was acknowledged before me on _________________________ by__________________________________ as _________________________ (Type of authority, e.g., officer, trustee, etc.) of ________________________________________. (Name of party on behalf of whom instrument was executed). ________________________ (Signature of Notarial Officer) _____________________Print Name______________________ (Title and Rank) Contractor’s Certification Page 2 of 2 (Seal, if any) (My commission expires:____________________.) DE Tit. 25, § 2707