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CALIFORNIA ALL-PURPOSE <br /> CERTIFICATE OF ACKNOWLEDGMENT <br /> State of California <br /> County of A42,7-- ---0 <br /> On a ✓�C� AP before me, Zen/e-i- ,- 10 -,<.$-,90,,,/ /I%TA"( ldd L/� , <br /> . (Here insert name and title of the officer) <br /> personally appeared t TI e,,C /l2,Z.4.9-zn/T <br /> who proved to me on the basis of satisfactory evidenc- • be the person(A whose name • <� • subscribed to <br /> the within i strument and : owledged to me that.the/they executed the same in 4-0111, r/their authorized <br /> capacity(i ),and that byw er/their signature on the instrument the person( or e 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 /> L 1.IbERSHON <br /> r: Commission•1601967 <br /> WITNESS y hand Icial seal. "; Wolof,Rift. orMa <br /> n%. , San Mayo County <br /> eli V f'� (Notary Seal) <br /> ignature of ublic <br /> 4 • <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.any 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. ceri Eying 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) helshe/they is/ere)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 O 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 + Indicate title or type of attached document,number of pages and date. <br /> 0 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 />