Fill and Sign the Delaware Certificate of Trust by Corporation Delaware Form

Prepared By and After Recording Return to: ________________________________ ________________________________ ________________________________ ________________________________ ) ) ) ) ) ) ) ) ) ) ) -------- Above This Line Reserved For Official Use Only---------------- CERTIFICATE OF TRUST (Corporate Trustee) STATE OF DELAWARE 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 execution is ___________________________________; 3. The name of each trustee is: _____________________________________________________________________ _____________________________________________________________________; 4. The name(s) of each currently acting trustee is/are: _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________; 5. The powers of the Trustee(s) are: _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________; 1 6. The Trustee is Irrevocable Revocable. If Revocable, the power to revoke the trust is held by the following individual(s): _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________; 7. The authority of co-trustees to sign and the number of signatures of co-trustees required to act are: a. Authority of co-trustees to sign: ______________________________________. Signatures Required: All One Two Other ________ 8. The Trust’s Taxpayer Identification Number is: _______________________________. 9. Title in trust property shall be taken in the following manner: _____________________________________________________________________ _____________________________________________________________________; 10. The trust instrument has not been revoked, modified or amended in any manner that would cause the representations contained herein to be incorrect. 11. 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. 12. 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. 13. Additional trust provisions: (provisions included by the grantors or trustees; if none, so indicate) _____________________________________________________________________ _____________________________________________________________________ ____________________________________________________________________. 2 The statements contained in the Trust Certificate are true and correct and there are no 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. Witness: Date: _____________ _________________________________ By ________________________________ _________________________________ Print Name__________________________ Its ________________________________ Title Attest: ________________________________ Corporate Secretary Print Name: ______________________ STATE OF DELAWARE COUNTY OF ____________________ _____________________________________ (date) _____________________________________ (name(s) of person(s)) This instrument was acknowledged before me on _____________________________ by _____________________________ (name(s) of person(s)), as __________________ (type of authority, e.g., officer, trustee, etc.) of ______________________________ (name of party on behalf of whom instrument was executed). ______________________________ Notary Public Print Name: ____________________ SEAL (if any) My commission expires: ____________________ 3