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CALIFORNIA ALL-PURPOSE <br /> . CERTIFICATE OF ACKNOWLEDGMENT <br /> State of California <br /> County of o, . ✓ M47-z-=-4 <br /> On /e, .1J D/ before me, �C e_A/E-� _• �z:ecs i0�/ VOTE 14:91-_/ _■ , <br /> . (Here insert name and title of the officer) f <br /> personally appeared rz,P 1/6,ei4-ryi <br /> who proved to me on the basis of satisfactory evidencs,t9 be the person( whose name a are subscribed to <br /> the within i strument and . owledged to me thatie/they executed the same i s er/their authorized <br /> capacity,and that b tip'' er/their signature on the instrument the person, or the entity upon behalf of <br /> which the person acte•, executed the instrument. <br /> I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph <br /> is true and correct. <br /> amt I.t>"ttsFtoN <br /> WITNESS my hLl and official seal. - fir'-` Commission 0 1601967 <br /> i • �i Notary Pubic.caitomia i <br /> a!�i�GrG. Lip.„..................40......1"/ s°"" °cogs►►(Notary seal �+kCanrtt• ��. <br /> gnature o Public <br /> 4 <br /> III <br /> ADDITIONAL OPTIONAL INFORMATION <br /> INSTRUCTIONS FOR COMPLETING THIS FORM <br /> Any acknowledgment completed in California must contain verbiage exactly as <br /> DESCRIPTION OF THE ATTACHED DOCUMENT appears above in the notary section or a separate acknowledgment form must be <br /> properly completed and attached to that document. The only exception is If a <br /> document is to be recorded outside of California.In such instances.am alternative - <br /> (Title or description of attached document) acknowledgment verbiage as may be printed on such a document so long as the <br /> verbiage does not require the notary to do something that is illegal for a notary in <br /> California(i.e. certifying the authorized capacity of the signer). Please check the <br /> (Title or description of attached document continued) document carefully for proper notarial wording and attach this form if required. <br /> • State and County information must be the State and County where the document <br /> Number of Pages Document Date signer(s)personally appeared before the notary public for acknowledgment. <br /> • Date of notarization must be the date that the signer(s)personally appeared which <br /> must also be the same date the acknowledgment is completed. <br /> (Additional information) • The notary public must print his or her name as it appears within his or her <br /> commission followed by a comma and then your title(notary public). <br /> • Print the name(s) of document signer(s) who personally appear at the time of <br /> notarization. <br /> CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms(i.e. <br /> ❑ Individual(s) he/she/theyr is/me)or circling the correct forms.Failure to correctly indicate this <br /> information may lead to rejection of document recording. <br /> ❑ Corporate Officer • The notary seal impression must be clear and photographically reproducible. <br /> Impression must not cover text or lines.If seal impression smudges,re-seal if a <br /> (Title) sufficient area permits,otherwise complete a different acknowledgment form. <br /> ❑ Partner(s) • Signature of the notary public must match the signature on file with the office of <br /> the county clerk. <br /> ❑ Attorney-in-Fact 4. Additional information is not required but could help to ensure this <br /> ❑ Trustee(s) acknowledgment is not misused or attached to a different document. <br /> ❑ Other d• Indicate title or type of attached document,number of pages and date. <br /> + Indicate the capacity claimed by the signer. If the claimed capacity is a <br /> corporate officer,indicate the title(i.e.CEO,CFO,Secretary). <br /> • Securely attach this document to the signed document <br /> 2008 Version CAPA v12.10.07 800-873-9865 www.NotaryClasses.com <br />