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(Top 3 inches reserved for recording data) <br /> CERTIFICATE OF TRUST Minnesota Uniform Conveyancing Blanks <br /> by Individual Form 90.1.1 (2016) <br /> Minn.Stat.501C.1013 <br /> State of Minnesota,County of //EAMAA//1 <br /> 4/'1r)£ 5 , /4 94T,4P 7 ,being <br /> first duly sworn on oath states,or affirms under penalties of perjury,that:1. The name of the trust,if one is given,is:,Q/A S M4A/1 /3"?/ r /eQ 1 42e46L g. polsr. <br /> 2. The date of the trust instrument is: ,'Ef7ii74k° //7) I �1 <br /> 3. The name and address of each trusteetrte empowered to act under the trust instrument at the time of execution of this Certificate f ..� <br /> Trust is: . /ANf ' R/�/d/y4'Q/ 3G1i7 CI�/f�/i141 p4 P �f4i' .S <br /> Ji'N d- ip,v4 9/17,10 jo47 r�i9/t/icu1I Al PAW 44's `s� <br /> 4. The trustees are authorized by the trust instrument to sell,convey,pledge,mortgage,lease,or transfer title to any interest in real <br /> or personal property,except as limited by the following:(if none,so indicate) <br /> 5. The number of trustees required to act is: 1. <br /> 6. The trust ❑hasas not been terminated. <br /> (chec one box) <br /> The trust instrument ❑has Dias not been revoked. <br /> (check ne box) <br /> Pursuant to Minn.Stat.501C.1013 subd.2: n <br /> The name of each settlor of the trust is: A/A'✓AI� �� ,P,4,4/"/�Yn�/ <br /> The name of each original Trustee is: .Q/4/0£ $. I4/� e4/ J cJ 'A I) A1/11040 <br /> Page 1 of 2 <br />