A651665 TrustDocument No. A651665
OFFICE OF THE COUNTY RECORDER
CARVER COUNTY, MINNESOTA
Recorded on -September 14, 2017 10:37 AM
Fee: $46.00
Kaaren Lewis
651665 County Recorder
CERTIFICATE OF TRUST Minnesota Uniform Conveyancing Blanks
by Individual Form 90.1.1 (2016)
Minn. Stat. 501C.1013
State of Minnesota, County of Hennepin
ANNE E. MARCOTTE, being first duly sworn on oath states, or affirms under penalties of perjury, that:
1. The name of the trust, if one is given, is: THE ANNE E. MARCOTTE REVOCABLE INTERVIVOS TRUST, DATED OCTOBER 29, 2015,
AS AMENDED
2. The date of the trust instrument is: October 29, 2015
3. The name and address of each trustee empowered to act under the trust instrument at the time of execution of this Certificate of Trust is:
ANNE E. MARCOTTE
7240 Galpin Blvd
Excelsior, MN 55331
4. The trustees are authorized by the trust instrument to sell, convey, pledge, mortgage, lease, or transfer title to any interest in real or
personal property, EXCEPT as limited by the following: (if none, so indicate)
None
5. The number of trustees required to act is: 1
6. The trust ❑ has ® has not been terminated.
The trust instrument ❑ has ® has not been revoked.
Pursuant to Minn.Stat. 501CA013 subd. 2:
The name of each settlor of the trust is: ANNE E. MARCOTTE
The name of each original Trustee is:
Anne E. Marcotte
Check this box ® if an Affidavit of Trustee, consisting of 3 page(s), is attached to this Certificate of Trust.
it 4°
VUSW Home aft. Tide
14860 Old County Road 15
'ham, MN 55441
The statements contained in this Certificate of Trust are true and correct and there are no other provisions in the trust instrument, or amendments
to it, that limit (i) the powers of the trustee(s) to sell, convey, pledge, mortgage, lease, or transfer title to interests in real or personal property, or (ii)
the authority of the trustees to exercise any other power identified in this Certificate of Trust.
Trustee or Settlor
(D k_k_Q__ F t
Anne E. Marcofte
THIS INSTRUMENT WAS DRAFTED BY:
Custom Home Builders Title, LLC
10850 Old County Road 15
Plymouth, MN 55441
(763)489-3240
File No. HB -34636
Trustee or Settlor
Sign a d swom to before me on
Title (and Rank):
My commission expires:
VICKI L. DELLW4
NOTARY PUBLIC -MINNESOTA
My Commission Expires
January 31, 2020
AFFIDAVIT OF TRUSTEE (inter vivos Trust) Minnesota Uniform Conveyancing Blanks
Minn. Stat. 501C.1014 Form 90.1.3 (2016)
State of MINNESOTA, County of HENNEPIN
ANNE E. MARCOTTE, being first duly sworn on oath states, or affirms under penalties of perjury, that:
1. Affiant is the trustee (one of the trustees) named in that certain Certificate of Trust (or trust instrument):
i R.
to which this Affidavit is attached.
recorded
of Page
as Document No. (or in Book
in the Office of the 0 County Recorder [—] Registrar of Titles of Carver County,
Minnesota.
executed by Affiant or another trustee or the settlor of the trust described in the Certificate of Trust (or set forth in the
trust instrument), which relates to real property in Carver County, Minnesota, legally described as follows:
SEE ATTACHED EXHIBIT A
F-� Check here if all or part of the described real property is Registered (Torrens)
2. The name(s) and address(es) of the trustee(s) empowered by the trust instrument to act at the time of the
execution of this Affidavit are as follows:
ANNE E. MARCOTTE
7240 Galpin Blvd
Excelsior, MN 55331
3. The trustee(s) who have executed that certain instrument, relating to the real property described above, between
THE ANNE E. MARCOTTE REVOCABLE INTERVIVOS TRUST, DATED OCTOBER 29, 2015, AS AMENDED
as Trustee(s), and
HPH Fawn Hill, LLC
dated 9-a —0
(a) are empowered by the trust instrument to sell, convey, pledge, mortgage, lease, or transfer title to any interest in
real property held in trust; and
(b) are the requisite number of trustees required by the trust instrument to execute and deliver such an instrument.
4. ® The trust has not terminated and the trust instrument has not been revoked.
❑ The trust has terminated (or the trust instrument has been revoked). The execution and delivery of
the instrument described in paragraph 3 has been made pursuant to the provisions of the trust.
5. There has been no amendment to the trust that limits the power of trustee(s) to execute and deliver the
instrument described in paragraph 3.
The trust is not supervised by any court.
The trust is supervised by the
Court of
County,
. All necessary approval has been obtained from
the court for the trustee(s) to execute and deliver the instrument described in paragraph 3.
7. Affiant does not have actual knowledge of any facts indicating the trust is invalid.
C 7L,L r
Anne E. Marcotte
Signed and swom to before me on -1 - i a-- I -I by
Anne E. Marcotte, as Trustee of The Anne E. Marcotte
Revocable Intervivos Trust, dated October 29, 2015, as
amended
VICKI L. DELLWO
4NOTARY PUBLIC - MINNESOTA
My Commission Expires Title (and Rank):
January 31, 2020
My commission expires:
THIS INSTRUMENT WAS DRAFTED BY:
Custom Home Builders Title, LLC
10850 Old County Road 15
Plymouth, MN 55441
(763)489-3240
File No. HB -34636
EXHIBIT A
Parcel 1:
That part of the Northwest Quarter of the Southwest Quarter of Section 10, Township 116, Range 23, Carver
County, Minnesota described as follows:
Commencing at the West Quarter corner of said Section 10; thence on an assumed bearing of South 1 degree 56
minutes 40 seconds East along the west line of said Southwest Quarter, a distance of 1213.40 feet; thence North
88 degrees 03 minutes 20 seconds East, a distance of 464.93 feet; thence North 1 degree 56 minutes 40 seconds
West on a line parallel to said west line of the Southwest Quarter, a distance of 289.19 feet; to the point of
beginning of the tract to be described; thence continuing North 1 degree 56 minutes 40 seconds West on a line
parallel to said west line of the Southwest Quarter, a distance`of 272.96 feet; thence North 88 degrees 03 minutes
20 seconds East, a distance of 818.71 feet; thence South 6 degrees 43 minutes 00 seconds West a distance of
276.11 feet; thence South 88 degrees 03 minutes 20 seconds West, a distance of 777.13 feet to the point of
beginning.
Parcel 2:
That part of the Northwest Quarter of the Southwest Quarter of Section 10, Township 116, Range 23, Carver
County, Minnesota described as follows:
Commencing at the West Quarter corner of said Section 10; thence on an assumed bearing of South 1 degree 56
minutes 40 seconds East along the west line of said Southwest Quarter, a distance of 651.25 feet to the point of
beginning of the tract to be described; thence continuing South 1 degree 56 minutes 40 seconds East along said
west line of the Southwest Quarter, a distance of 562.12 feet to a point 1,213.40 feet distant from said West
Quarter corner of Section 10; thence 88 degrees 03 minutes 20 seconds East, a distance of 464.93 feet; thence
North 1 degree 56 minutes 40 seconds West on a line parallel to said west line of the Southwest Quarter, a
distance 562.15 feet; thence South 88 degrees 03 minutes 20 seconds West, a distance of 464.93 feet to the point
of beginning.
Abstract Property.