(Insert place and date)
The undersigned hereby certifies: That (insert description of trust estate or name of beneficial owner) is the owner of an interest in a real estate mortgage investment fund, which fund is shown on the records and accounts of the undersigned, and which interest is equivalent to the fraction which would result from using (insert amount) dollars ($..........) as the numerator and the aggregate principal amount of the investment fund as the denominator.
This certificate is issued in accordance with and subject to the terms and conditions of KRS 286.3-240 to 286.3-270.
(Signature of trust company or bank)
KRS 286.3-240
Recodified 1942 Ky. Acts ch. 208, sec. 1, effective10/1/1942, from Ky. Stat. sec. 4706.