PDF document
- 1 -

Enlarge image
     AFFIDAVIT TO THE FLORIDA SECRETARY OF STATE
                              TO FILE OR QUALIFY

                           A                                                    TRUST

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.
                                                                                                                             
                                                Name:
   NOTARY                                       Chairman of the Board of Trustees

                                                Filing Fee: $350.00
                                                Certified Copy: $    8.75 (optional)
   CR2E063(3/00)



- 2 -

Enlarge image
                        TRANSMITTAL LETTER

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)

                          Address

                          City, State & Zip

                          Daytime Telephone number






PDF file checksum: 1919422043

(Plugin #1/9.12/13.0)