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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(-st whose <br />nametsJ isfare subscribed to the within instrument and acknowledged to me that he/shefthey- executed the <br />same in ki-s/her+t.fieif authorized capacity8@s-), and that by -h-islher/.thcij:. signature(s-) on the instrument the <br />personEs), or the entity upon behalf of which the personEs1 acted, executed the instrument. <br /> <br />WITNESS my hand and official seal. <br /> <br /> <br />DONN.A J FRQI,VD <br /> <br />C();'i1.~. -"'161.46:'::4 <br /> <br />~ lJ~s!E:-, <br /> <br />NOT;",,:::".,' :J~;S:-:'::-C,t.,UFORNiA <br />1,j.:,,~I~~ C::U~iTY <br /> <br />.: ~r," :,3t~~~';\:,:.:~;: :~~-32~~-o~ <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 notary 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 oU/side 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 tile time of <br />notarization. <br />. Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. <br />fie/she/tlley, is /aF8 ) or circling the correct fonns. 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 Pmtner(s) <br />XX Attorney-in-Fact <br />o Trustee(s) <br />o Other <br /> <br />CAP A \' 12.10.05 ((~, by Association of Professional Notanes & CSA 800-813-9865 www.notaJ)'c1asses.colll <br />