AFFIDAVIT TO THE FLORIDA SECRETARY OF STATE TO FILE OR QUALIFY
In accordance with Section 609.02 of the Florida Statutes, pertaining to Common Law Declarations of Trust, the undersigned, the Chairman of the Board of Trustees of ,a
(Name of Trust)
Trust hereby affirms in order to file or qualify
(State) , in the State of Florida. (Name of Trust)
1. Two or more persons are named in the Trust. 2. The principal address is . 3. The registered agent and street address in the State of Florida is:
. 4. Acceptance by the registered agent: Having been named as registered agent to accept service of process for the above named Declaration of Trust at the place designated in this affidavit, I hereby accept the appointment as registered agent and agree to act in this capacity.
(Signature of Registered Agent)
5. I certify that the attached is a true and correct copy of the Declaration of Trust under which the association proposes to conduct its business in Florida.
NOTARY Name: Chairman of the Board of Trustees Filing Fee: $350.00 Certified Copy: $ 8.75 (optional)
Department of State Division of Corporations P.O. Box 6327 Tallahassee, FL 32314 SUBJECT: Enclosed is an original and one (1) copy of the Declaration of Trust and a check for:
FEES: Declaration of Trust $350.00
OPTIONAL: Certified Copy $ 8.75
FROM: Name (Printed or typed)
City, State & Zip
Daytime Telephone number