Laserfiche WebLink
CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT <br />EAnolarry :puhlicer nffieer �amndn.L <br />g this certificate verifies only the identity of the individual who signed the document to <br />attached,he truthfulness, accuracy, or validity of that document. <br />State of California <br />County of <br />f <br />On �e!fole me, - - Notary Public, <br />[dere insert name and title of ft ofiicei <br />personally appeared�� <br />who proved to me on the basis of satisfactory evidence to be the person whose name + subscribed to <br />the within eat and cicnowledged to ]me that � t#.ey execut the same in xs! uthorized <br />capacity(ies , and that by @j6m*hsfr signature on the instrument the person(s)(or the entity upon behalf of <br />which the person{' acted, executed the instt�t. <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 />WITNESS my hand an official s�eaI. AMY JEAN WARD <br />d` <br />Comm. #2207975 <br />,Notary Public- California <br />SignatureoofNotaryPublic N (Notary Seal a Placer County <br />Comm. Expires Jul 317, 2021 <br />ADDITIONAL OPTIONAL INFORMATION <br />DESCRIPTION OF THE ATTACHED DOCUMENT <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 />(Title) <br />❑ Partner(s) <br />❑ Attorney -in -Fact <br />❑ Trustee(s) <br />❑ Other <br />INSTRUCTIONS FOR COMPLETING THIS FORM <br />Any aaWeivledgmest clonspleted in Caltrernia nisei coltrala Y&blage eracgy as <br />appeal) above lir rhe noiau secrlem ora reparate acbmviedgmant fora! must be <br />properiy compleied and aNached to [fiat documvii. The only ayceplrolr is if a <br />docn+nent & to be recanted wasirde of Calffonda. In such instances, any adtemalive <br />ackdrowdedgn+eru verblage as pray be printed on such a doc+anent so long ar elle <br />verblage does not s egldlre elle nolmy do do somethfug that Fs illegalfor a trodaty In <br />califodvda (i.e. ceettr)vag the aarhotired capacity of the signelJ. Please check rile <br />docmnenr carefld lyfarpraper rdoiarlal tvordlrsg and attach this join[ frerinked. <br />• Slate and County information must be the Slate and County where the document <br />signer(s) personally appeared before the notary public for acknowledgment, <br />e Date of notarization must he the date that the signer(s) pctsonally appeared which <br />must also be the same date the acknowledgment is completed. <br />e The notary public must print his or her name as it appears within his or her <br />coamnission followed by a comma and then your title (notary public). <br />e Print the name(a) of doemncnt signet(s) who personally appear fit the lime of <br />notarization. <br />• ]ndicate the correct singular or plural forms by crossing off incorrect fonns (i.e. <br />helshd4eyr is /are ) or circiing the cortect fonns. Failure to correctly indicate this <br />information may lead to rejection of document recording. <br />• The notary seal hilpression must be clear and photographically rellrodueible. <br />Impression must not cover text m• lines. If seat impression smudges, reseal if a <br />sufficiesat nren permits, otherwise complete a dificrent acknowledgment form. <br />• Signature of the notary public must match the sigarnturo on file with the office of <br />the county clerk. <br />0 Additional infonuation is not required but could help to ensure this <br />acknowledgment is not misused or attached to a different document. <br />0 Indicate title or type ofatlachad document, number ofMes and date. <br />C• indicate the rapacity clainied by the signer. If the claimed capacity, is a <br />corporate officer, indicate Ilia title (i.e. CEO, CFO, Scomtary). <br />• Securely attach this document to the signed document <br />C 2004-2015 PmL1nk SlgnhtgServlee. Mr. -All nights Reserved uvv;.ThePral.lnk.com - NeUonwide NnMq SerAte <br />