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A notary public or other officer completing this certificate verifies only the identity <br />of the individual who signed the document to which this certificate is attached, <br />and not the truthfulness, accuracy, or validity of that document. <br />State of California } <br />County of Placer <br />On "`t ,tvt.�r�7,!^ before me, Samantha Giese, NotaryPublic <br />ere ✓roma an a rsr <br />personally appeared <��nnct�t t(r i�. i ur54(U <br />B <br />who proved to me on the basis of satisfactory evidence to be the person(owhose <br />namedis subscribed to the within instrument and acknowledged to me that <br />h ey executed the same inis�rr authorized capacity(ilaq, and that by <br />rich <br />signatures} on the instrument the persons} or the entity upon behalf of <br />ich the persons} acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws of the State of California that <br />the foregoing paragraph is true and correct. <br />WITNESS my hand and official seal. SAMANTHAGIESEK <br />0 COMM. # 2269173 <br />(� • _ NOTARY PUBLIC -CALIFORNIA <br />1n q PLACER COUNTYO <br />r i I!✓l i/l-.�1�4�- may) •w ` COMM. EXPIRES DEC.2 20221 <br />11 A <br />NVIbry Public Signature (Notary Public seal) <br />OF THE ATTACHED DOCUMENT <br />(Tffls ordeswiplimt ofaftsrhed document) <br />CAPACITY CLAIMED BY THE SIGNER <br />❑ Individual (s) <br />❑ Corporate Officer <br />le <br />❑ Partner(s) <br />❑ Attomey-in-Fact <br />❑ Trustee(s) <br />❑ Other <br />2015 Version vrmwIf. NotaryClasses.com 80-873-9865 <br />INSTRUCTIONS FOR COheLETING THIS FORAM <br />This form comphes wuh cwrznt Ca/ifo a stander ngarding notxy wordingmrd, <br />(✓'needed should be completed and attached m the docwnent Acbumeledgmenu <br />join other stales may be completed for documents being sent mo Am some so long <br />as the wording does nor require the Caldonda notary to violate California notary <br />law. <br />• State and County information must be the State and County whore the document <br />signer(s) personally appeared before the notary public far aclmowledgment. <br />• Dale of notarization must be the date that the signer(s) personally apposed which <br />must also be the same date the acknowledgment is completed. <br />• The notary public must prim his or her name as i1 appears within his or her <br />commission followed by a comma and then your title (notary public). <br />• Print the camels) of document signer(s) who personally appear at the time of <br />notarization. <br />• Indicate the collect singular or plural forms by crossing off incorrect forms (i.e. <br />be/she#hey, is /arra) 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 test or lines. If seal impression smudges, m -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 />d° Additional information is not required but could help to ensure this <br />acknowledgment is not misused or attached to a different document. <br />s Indicate title or type of attached document, number of pages and date. <br />4 Indicate the capacity claimed by the signer. If the claimed capacity is a <br />corporate officer, indicate the title (io. CFA, CFO, Secretary). <br />• Securely attach this document to the signed document with a staple. <br />