On this ____ day of _______________, ____, before me personally appeared _______________
______________, to me known, who duly acknowledged to me that he (she) (they) (it) is (are)
the trustee(s) of ____________________________________, the trust described in the foregoing
instrument, that the foregoing instrument was signed on behalf of said trust and that the same is
the free act and deed of said trust.
IN WITNESS WHEREOF, I have hereunto set my hand and affirmed my official seat the day
and year in this certificate first above written.
My commission expires: