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<br />CALIFORNIA ALL-PURPOSE <br />CERTIFICATE OF ACKNOWLEDGMENT <br /> <br />State of California <br />County of ~ /lJAn::fJ <br /> <br />before me, &..w.G.L J:. IJkAn..' ~779,,;Zu &.L/tV <br />~ (Here insert name and titlC"6fthe officer) / <br /> <br />personally appeared ~7 c;e ~,,:;p Am <br /> <br />who proved to me on the basis of satisfactory eviden~o be the person'" whose nam~e are subscribed to <br />the within instrument and ~owledged to me tha~she/they executed the same i. er/their authorized <br />capacity(~, and that by ~er/their signature~ on the instrument the perso~, or . e entity upon behalf of <br />which the person~ acted, executed the instrument. <br /> <br />On /EJ )Ett <br /> <br />tJJ <br /> <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 /> <br />WITNESS my hand~ial seal. <br /> <br />~d .# /:k /--- <br /> <br />~of tary Public <br /> <br />(Notary Seal) <br /> <br />Je- :=MEn4ON.~~1:7<r ~ <br />I. Notary Public . ec.amta I <br />j "'~ec:==.~ <br /> <br />----------- <br /> <br />. <br /> <br />. <br /> <br />(Title or description of attached document) <br /> <br />ADDITIONAL OPTIONAL INFORMATION <br /> <br />INSTRUCTIONS FOR COMPLETING nus FORM <br />Any acknowledgmelll completed in Califomia must contain verbiage ailclly as <br />appears above in the notary section or a separate acknowledgmelll form mlllt be <br />properly completed and attached to that doctunelll. The only exception' is if a <br />. . to J..~- .~. Tft ~h .....-..... --. . <br /> <br />acknowledgment verbiage as may be printed on I1ICh a dOcument so long as the <br />verbiage does not ,.,qul,., the notary to do something that is illegal for a notary in <br />Califomia (i.e. certifying the authorized capacity of the signer). Plea.re checle the <br />document carefully for proper notarial wording and attach this form if nquind. <br /> <br />DESCRIPTION OF THE A'IT 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 th.e 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 />MlsheltMy,- is IeEe ) 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 /> <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 />o Attorney-in-Fact <br />o Trustee(s) <br />o Other <br /> <br />2008 Version CAPA vI2.1O.07 800-873-9865 www.NotaryClasses.com <br />