Free Microsoft Word - cert of amend - domestic stat trust.DOC - Connecticut

CERTIFICATE OF AMENDMENT
DOMESTIC STATUTORY TRUST
Office of the Secretary of the State
MAILING ADDRESS: Commercial Recording Division Connecticut Secretary of the State P.O. Box 150470 Hartford, CT 06115-0470 860-509-6003 DELIVERY ADDRESS: Commercial Recording Division Connecticut Secretary of the State 30 Trinity Street Hartford, CT 06106 860-509-6003

Space for Office Use Only

Filing Fee: $60.00

Make Checks Payable To "Secretary of the State"

1. NAME OF STATUTORY TRUST:

2. THE DATE OF FILING OF THE ORIGINAL CERTIFICATE OF TRUST: _____/_____/______ 3. THE CERTIFICATE OF TRUST IS (choose one of the following):

___Amended ___Amended and Restated (Please set forth amendments below and attach restated certificate) ___Restated ( Please attach restated certificate)
4. TEXT OF EACH AMENDMENT:

5. EXECUTION BY TRUSTEE:

Dated this _________________day of ____________________, 20_______.

Type or print name of signing trustee

Signature

Reference an 8 1/2 X 11 attachment if additional space is required
Rev. 08/23/2007