SUPERIOR COURT OF THE DISTRICT OF COLUMBIA PROBATE DIVISION __________ NRT _________ Link to: __________ ADM _________ Link to: __________ WIL _________ Trust of ________________________________ Settlor CERTIFICATION OF TRUST The undersigned Trustee of hereby certifies that 1. The following trust exists: ___________________________________________________________________________ 2. Said trust was executed on _____________________________________________________ 3. The settlor was ______________________________________________________________ 4. The settlor’s address was ______________________________________________________ 5. The settlor died on ____________________________________________________________ 6. The current Trustee(s) is/are ___________________________________________________________________________ 7. The address of the Trustee(s) is/are ________________________________________________ ___________________________________________________________________________ 8. The trust is [ 9. ] revocable [ ] irrevocable If the trust is revocable, the person(s) with authority to revoke is/are ___________________________________________________________________________ 10. The Trustee(s) has/have the power to sign this certification. 11. [ [ ] All Trustees are required to exercise the powers of the Trustee. ] Fewer than all of the Trustees can exercise the powers of the Trustees. 12. The trust’s taxpayer identification number is on Form 27, which is being filed herewith. 13. Title to property of the trust is taken as follows: ____________________________________ ___________________________________________________________________________ 14. The trust has not been revoked, modified, or amended in any manner that would cause the representations contained in this Certification of Trust to be incorrect. 15. The powers of the Trustee(s) are set forth in an attachment. _________________________________________ Signature of Attorney _____________________________________ Signature Jan. 2010 American LegalNet, Inc. www.FormsWorkFlow.com _________________________________________ Typed Name of Attorney _____________________________________ Typed Name _________________________________________ Address (Actual address/not Post Office Box) _____________________________________ Address _________________________________________ _____________________________________ _________________________________________ Telephone number _____________________________________ Telephone number _________________________________________ Unified Bar number __________________________________________ E-mail address (optional) VERIFICATION I ____________________________, being first duly sworn, on oath, depose and say that I have read the foregoing pleading by me subscribed and that the facts therein stated are true to the best of my knowledge, information, and belief. _______________________ Date ______________________________________ Signature of Trustee ______________________________________ Typed Name ______________________________________ Telephone number Subscribed and sworn to before me this ____ day of _________________, 20__. ___________________________________________ Notary Public/Deputy Jan. 2010 American LegalNet, Inc. www.FormsWorkFlow.com