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Doc No T6011539
Certified, filed and/or recorded on
11/7/12 3:36 PM
Office of the Registrar of Titles
Hennepin County, Minnesota
Rachel Smith,Acting Registrar of Titles
Mark V. Chapin, County Auditor and Treasurer
Deputy 55 Pkg ID 879653C
Doc Name: Certificate of Trust
Document Recording Fee $46.00
Document Total $46.00
Existing Certs New Certs
1357535
1
This cover sheet is now a permanent part of the recorded document.
CERTIFICATE
OF TRUST
[RESERVED FOR RECORDING DATA)
STATE OF MINNESOTA )
ss
COUNTY OF HENNEPIN )
Cindy L. Nelsen, being first duly sworn or affirmed, on oath states:
1. The name of the grantor Trust is Edith L. Nelson Family Trust, created by
provisions of the Edith L. Nelson Revocable Trust U/A 10/6/97.
2. The date of the creating Trust instrument is October 6, 1997.
3. The name of the Grantor is Edith L. Nelson.
4. The name of each original trustee is Edith L. Nelson and Arthur J. Nelson.
5. The name and address of each trustee who is individually empowered to act
under the Trust Instrument at the time of execution of the Certificate are
Cindy L. Nelsen Mark J. Nelson Daniel A. Nelson
2750 County Road 90 809 Halsey Ave. SE 2223 Keats Ave. Sw
Maple Plain, MN 55359 Buffalo, MN 55313 Howard Lake, MN 55349
6. Each trustee is authorized by the Instrument to sell, convey, pledge, mortgage,
lease, or transfer title to any interest in real or personal property, EXCEPT as
limited by the following (if none, so indicate):
10.31.12 t
I �
NONE
7. Any other trust provisions the undersigned wishes to include:
NONE
8. The Trust has not been terminated nor revoked.
9. The statements contained in this Certificate of Trust are true and correct and
there are no other provisions in the Trust Instrument or amendments to it that
limit the powers of the trustees to sell, convey, pledge, mortgage, lease or
transfer title to interests in real or personal property.
Signature of Trustee of Grantor
• CAM d/C4---1---rld4-e4A--2
Cindy L. Nels
Trustee
Subscribed and sworn to or affirmed before me this 31St day of October, 2012.
NOTARIAL STAMP OR SEAL OR OTHER TITLE OR RANK)
TIPPIN A BERG C&RöNG - '
t. pafCNOTATIN I1UBLIC-611tJNESOTA ALAN OWLEDGMEN
its..7 My Comm.ERP/ret Jan.31.2015
TAX STATEMENT FOR THE REAL PROPERTY DESCRIBED IN THIS
INSTRUMENT SHOULD BE SENT TO
(INCLUDE NAME AND ADDRESS OF GRANTEE(S)
THIS INSTRUMENT WAS DRAFTED BY_
William M. Dickel, Esq.
1055 E. Wayzata Blvd.,#320
Wayzata, MN 55391
1N
TRUSTEE CERTIFICATE 10.31.12 -2- EDITH L.NELSON FAMILY TRUST