CO Statement of Authority 1

STATEMENT OF AUTHORITY

1.This Statement of Authority relates to an entity named _________________

______________________ and is executed on behalf of the entity pursuant to the provisions of Section 38-30-172 C.R.S.

2.The type of entity is a Trust.

3.The mailing address for the entity is_______________________________________________________________ .

4.The entity is formed under the laws of ______________________________.

5.The ___name or ___position (check one or both) of the person authorized to execute instruments conveying, encumbering or otherwise affecting title to real property on behalf of the entity is:______________________________.

6.The authority of the foregoing person (s) to bind the entity is ____ not limited OR ____ limited as follows:__________________________________________________________________________.

7.Other matters concerning the manner is which the entity deals with interests in real property: _____________________________________________________________________________.

(Name of Trust here)

By: ____________________________________

Name: ______________________________

Title: _______________________________

STATE OF _________________________

COUNTY OF_______________________

The foregoing instrument was acknowledged before me this _____ day of __________________,200______ by _________________________ as __________

_________________ of _________________________________trust.

WITNESS MY HAND AND OFFICIAL SEAL.

My commission expires:________________________________

___________________Notary Public

Note: The Statement of Authority must be recorded to obtain the benefits of the statute.