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<br />CALIFORNIA ALL-PURPOSE <br />CERTIFICATE OF ACKNOWLEDGMENT <br /> <br />State of <br /> <br />CALIFORNIA <br /> <br />) <br /> <br />County of <br /> <br />MARIN <br /> <br />) <br /> <br />On December 20, 2006 before me, <br /> <br />DONNA J. FROwn, NOTARY PUBLIC <br />(here insert name and title of the officer) <br /> <br />personally appeared <br /> <br />DEBBIE L. WELSH <br /> <br />personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(-5t whose <br />namefsJ iST1rre subscribed to the within instrument and acknowledged to me that he/shefthey- executed the <br />same in ki-5/herft.IH!H- authorized capacity8€l&), and that by -h.islher/~J:. signature(&) on the instrument the <br />personts7, or the entity upon behalf of which the personEs1 acted, executed the instrument. <br /> <br />WITNESS my hand and official seal. <br /> <br /> <br />DONNA J FROWD <br /> <br />::,I/!.~ pi8~t.6S4 <br /> <br />'..s -;.,;;.; .,' ;;"_;f3~' :.,:':".'__~ ;=C:RNIA <br /> <br />',I,"',~'\. :::'-:;1-":',-'--"- <br /> <br />~"~;fNO~~ <br /> <br />=r:,lt~:, :>.::;{;,;r 22 20C:9 , <br />~"'~'~ ~'>,,,,- ~r--C-v;<-""~-'';7-'<~-4., <br /> <br />(Seal) <br /> <br />. <br /> <br />. <br /> <br />(Title or description of attached document) <br /> <br />ADDITIONAL OPTIONAL INFORMATION <br /> <br />INSTRUCTIONS FOR COMPLETING THIS FORM <br />Any acknowledgment completed in California must contain verbiage exactly as <br />appears above in the notmy section or a separate acknowledgment form must be <br />properly completed and attached 10 that document. The only exception is if a <br />document is to be recorded outside of California. In such instances. any alternative <br />acknowledgment verbiage as niay 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 />document carefully for proper notarial wording and attach this form ifrequired. <br /> <br />DESCRIPTION OF THE A TT ACHED DOCUMENT <br /> <br />(Title or description of attached document continued) <br /> <br />(Additional information) <br /> <br />. State and County information must be the State and County where the document <br />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 />. 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 />. Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. <br />lle/she/tRey,- is /aFe) or circling tile correct forms. Failure to correctly indicate this <br />information may lead to rejection of document recording. <br />. 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 />sufficient area permits, otherwise complete a different acknowledgment form. <br />. Signature of the notary public must match the signature on file with the office of <br />the county clerk. <br />.:. Additional information is not required but could help to ensure this <br />acknowledgment is not misused or attached to a different document. <br />.:. 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 /> <br />Number of Pages _ Document Date <br /> <br />CAPACITY CLAIMED BY THE SIGNER <br />o Individual (s) <br />o Corporate Officer <br /> <br />(Title) <br />o Partner(s) <br />XX Attorney-in-Fact <br />o Trustee(s) <br />o Other <br /> <br />CAP A \' 12.1 0,05 It.') by Association of Professional Notanes & CSA 8()()-t03~9865 www.notaryclasses.com <br />