25-01283T

FIRST INSERTION
AFFIDAVIT OF OWNERSHIP OF CERTIFICATE OF TITLE &
REGISTERED SECURITIES REG’D NO : ILLINOIS FILE #112-1972 0109742
In North America )
} ss
Land of Illinois )
[WITH TRUST]

i , Shannon Kay Potts, a living and original native american (wo)man, Affiant (hereinafter Registered Owner), being duly sworn, declare and state that i am of full age and legally competent and to have firsthand knowledge of the facts to be true and Certified Security and/or Bond No: ILLINOIS FILE #112-1972 0109742 whose name also appears on the face of the instrument as SHANNON KAY LOPEZ (Trust/ Estate) by reference to the Official Certificate of Live Birth (Title), recorded and filed dated December 15, 1972, in the Office of the Clerk, County of Madison, Land of Illinois, as the same appears to be held for safekeeping by State Registrar of Titles. Said Certificate is a Valid Trust Instrument and further describes the same property that is an active Trust/ Estate conveyed unto Affiant (Registered Owner) as set forth in the above-mentioned Certificate of Title and all financial assets, accounts, registered securities, entitlements, real and other personal property that are associated with said Trust/ Estate (whether now owned or hereafter acquired), described in the attached Form UCC-1 and Addendum under Notice of Claim. Affiant (Registered Owner) is the one legally entitled and duly authorized to act, appoint, assign, convey, and/or execute said Trust/Estate and no other parties are allowed without consent conveyed, and from Entitlement Holder/ Registered Owner. [AND IT IS SO ORDERED!]

In Witness Whereof; said Affiant (Owner) has hereunto set her hand and seal

Done this day 12TH of December 2025
December 12, 19, 26, 2025; January 2, 2026 25-01283T

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