STATE OF GEORGIA
OFFICE OF THE SECRETARY OF STATE
This is to certify that a copy of the attached certified copy of a deed, declaration, or agreement of trust dated __________________, by and between __________________ as settlor(s) and __________________ as trustee(s), which states that the trustee(s) may use the name of __________________, has been duly filed in the office of the Secretary of State and the fees paid therefor, as provided by law.
WITNESS my hand and official seal this __________________ day of
__________________, __________________.
__________________
Secretary of State
OCGA § 53-12-152