Fillable Printable Certification of Trust Sample Form
Fillable Printable Certification of Trust Sample Form
Certification of Trust Sample Form
(Acknowledgement must be attached)
RECORDING REQUESTED BY:
WHEN RECORDED MAIL TO:
Order No.:
Escrow No.:
SPACE ABOVE THIS LINE FOR RECORDER’S USE
CERTIFICATION OF TRUST
California Probate Code Section 18100.5
The undersigned declare(s) under penalty of perjury under the laws of the State of California that the
following is true and correct:
1. The Trust known as _________________________________________________________________,
executed on __________________________, is a valid and existing trust.
2. The name(s) of the settlor(s) of the Trust is (are): __________________________________________
_________________________________________________________________________________
3. The name(s) of the currently acting trustee(s) is (are): ______________________________________
_________________________________________________________________________________
4. The trustee(s) of the Trust have the following powers (initial applicable line(s)):
________ Power to acquire additional property.
________ Power to sell and execute deeds.
________ Power to encumber, and execute deeds of trust.
________ Other: ___________________________________________________________________
5. The Trust is (check one): _______ Revocable _______ Irrevocable
The name of the person who may revoke the Trust is: ______________________________________
6. The number of trustees who must sign documents in order to exercise the powers of the Trust is (are):
___________, whose name(s) is (are): __________________________________________________
7. Title to Trust assets is to be taken as follows: _____________________________________________
8. The Trust has not been revoked, modified or amended in any manner which would cause the
representations contained herein to be incorrect.
9. I (we) am (are) all of the currently acting trustees.
10. I (we) understand that I (we) may be required to provide copies of excerpts from the original Trust
documents which designate the trustees and confer the power to act in the pending transaction.
Dated: ___________________________ ___________________________________________
___________________________________________
ACKNOWLEDGMENT
Title of Document: ________________________
Date of Document: ________________________
----------------------------------------------------------------------------------------------------------------
State of ____________________________
County of ___________________________
On ____________________ before me, ______________________________, a Notary Public,
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 _______________________________________
Name: _________________________________________
(typed or printed)
(Area reserved for official notarial seal)