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RecDoc 2020-005634
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RecDoc 2020-005634
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Last modified
3/13/2020 10:48:01 AM
Creation date
3/13/2020 10:47:55 AM
Metadata
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Template:
Recorded Docs
Recorded Docs - Type
Declaration
Subject
Declaration of Restriction
Doc Num
2020-005634
Rec Date
1/22/2020
APN
058-021-050
Address
1462 Edgewood Rd.
Parties
Charles J. and Anne F. Camilleri, Camilleri Trustt
Reso Ref
15800
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CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT <br />A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to <br />which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. <br />State of California <br />County of San Mateo <br />On Jan. 22, 2020 <br />before me, Zenobia MS Forbes Notary Public, <br />(Here insert name and title of the officer) <br />personally appeared Charles J. Camilleri Jr. & Ann F. Camilleri <br />who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) 4s/are subscribed to <br />the within instrument and acknowledged to me that he/she/they executed the same in hisAwF/their authorized <br />capacity(ies), and that by hisAteF/their signature(s) on the instrument the person(s), or the entity upon behalf of <br />which the person(s) acted, 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. A <br />seal.gi_ <br />ZENOBIA MS FOBBES <br />v Notary Public -California <br />San Mateo County <br />Commission o 2187334 <br />My Comm. Expires Mar 20, 7021 <br />(Notary Seal) <br />ADDITIONAL OPTIONAL INFORMATION <br />DESCRIPTION OF THE ATTACHED DOCUMENT <br />Declaration of Restriction <br />(Title or description of attached document) <br />(Title or description of attached document continued) <br />Number of Pages _ Document Date <br />(Additional information) <br />CAPACITY CLAIMED BY THE SIGNER <br />❑ Individual (s) <br />❑ Corporate Officer <br />(rifle) <br />❑ Parmer(s) <br />❑ Attorney -in -Fact <br />❑ Trustee(s) <br />❑ Other <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 to 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 may be printed on such a document so long as the <br />verbiage does not require the notary to do something that kr illegal for a notary in <br />California (ii.e. certifying the authorized capacity of the signer). Please check the <br />document carefullyfor proper notarial wording and attach this form if required <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 most 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 />WshelFhey;- is /ere ) or circling the 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 />C2001iris ProlJ SigNng Service,Inc.- All Rights Reserved www.TwProl,inkwm-Nationwide Notary Service <br />
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