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Ustee ) named below, and the undersigned as an individual(s), certify as follows: 1. Settlor(s) - The full name(s) of the settlor(s) of the Trust is/are: A. B. C. 2. Trustee(s) - The full name(s) of the currently acting trustee(s) is/are: A. B. C. 3. Successor Trustee(s) - As of today, the persons designated to become successor trustees are: A. B. C. 4. Trust in Full Force - The Trust in full force and has not been revoked, modified or amended in any manner which would cause the representat.

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