Certificate Of Trust Form - Domestic Statutory Trust printable pdf download

Certificate Of Trust Form - Domestic Statutory Trust

CERTIFICATE OF TRUST

DOMESTIC STATUTORY TRUST

Office of the Secretary of the State

MAILING ADDRESS:

DELIVERY ADDRESS:

Commercial Recording Division

Connecticut Secretary of the State

P.O. Box 150470

30 Trinity Street

Hartford, CT 06115-0470

Hartford, CT 06106

860-509-6003

FEE: $120.00

Make Checks Payable To “Secretary of the State”

Space for Office Use Only

1. NAME OF STATUTORY TRUST:

______________________________________________________________________________________

2. ADDRESS OF THE STATUTORY TRUST'S PRINCIPAL OFFICE

________________________________________________________________________

3. APPOINTMENT OF STATUTORY AGENT:

Name of Agent

Business Address

Residence Address

Acceptance of appointment

__________________________________________________________________________

Signature of Agent

4. EXECUTION BY ALL TRUSTEES:

Dated this _________________day of ____________________, 20_______.

Type or print names of signing trustees

Signatures

Reference an 8 1/2 X 11 attachment if additional space is required

Rev. 12/07/09

Certificate Of Trust Form - Domestic Statutory Trust