Fillable Printable Trust Certification Form
Fillable Printable Trust Certification Form
Trust Certification Form
TRUST CERTIFICATION
(This area for official notarial seal)
Dated ________________________
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 t h e entit y upon behalf
of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PE RJURY under th e laws of the state of
California that the foregoing paragraph is true and correct.
WITNESS my hand and official seal
Signature _______________________________________________
for the settlor(s) certify(ies) to you that:
1. The above Trust instrument has not been revoked and is in full force and effect.
2. The name(s) of the Trustee(s) now qualified to act under the Trust instrument and who are the only Trustee(s)
qualified to act is/are:
3. The powers of the Trustee(s) are contained in the attached copy of a portion of the Trust instrument.
4. The Trust is irrevocable
revocable and the person(s) holding the power to revoke is/are:
5. If there is more than one Trustee, the Trustees may exercise the powers set forth in Paragraph 3 above by
all/ less than all their signatures. (Attach excerpt from Trust showing such provision.)
6. The Trust id entification number is:
Social Security Number
Employer Identification Number
7. Title to the Trust assets should be taken as:
8. The above referenced Trust instrument has not been amended, modified or supplemented, except as follows:
IN THE EVENT THAT THIS CERTIFICATION IS BEING USED IN A TRANSACTION IN AN AMOUNT OF $500,000 OR LESS, THE
ATTACHMENTS CALLED FOR IN ITEMS 3 AND 5 ABOVE ARE NOT REQUIRED. IF THE TRANSACTION EXCEEDS $500,000,
THEN THIS CERTIFICATION MUST BE NOTA RIZED.
Title Order No. Escrow
N
o.
The undersi g n ed,
[Name of settlor(s) person(s) who created the Trust]
TO:
RE:
Trust Agreement/Declaration dated
made under the laws of the state of
by
[Trustee(s)]
