Certificate of Formation of Sungard Trust Systems LLC

CONTRACTOR'S CERTIFICATION –CORPORATION or LLC

(25 Del. C. §2707)

COMES NOW, the undersigned affiant, as a representative of 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 Company

By:

Type or Print Name

State of Delaware

County 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)

(Seal, if any)

(My commission expires: )

DE Tit. 25, § 2707