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<br />CALIFORNIA ALL-PURPOSE <br />CERTIFICATE OF ACKNOWLEDGMENT <br /> <br />(~,~~ tll. /17: ~tr PJ In <br /> <br />~ c t. - (H,re ;o"rt nom, ond Iili, of tho om",) <br /> <br />))of~ <br />/ <br />who proved to me on the basis of satisfactory evidence to be the person~) whose name~ is/are" subscribed to <br />the within instrument and acknowledged to me thatkefshe/~ executed the same in lrls"lher/t~ authorized <br />capacity(~, and that by' r/th&tr-signature(-s1-"on the instrument the personW, or the entity upon behalf of <br />which th~'.person(.atacted, uted the instrument. <br /> <br />State of California <br />Sa l-1 t?1t:t..-to · <br /> <br />County of <br /> <br />On tc;(Jev 31 ~~bCg before me, <br /> <br />personally appeared <br /> <br />I certify under PENAL T <br />is true and correct. <br /> <br /> <br />II <br /> <br /># <br /> <br />under the laws of the State of California that the foregoing paragraph <br /> <br />AL OPTIONAL INFORMATION <br /> <br />INSTRUCTIONS FOR COMPLETING THIS FORM <br />Any aclcnowledgment completed in California must contain verbiage exactly as <br />appears above in the notary section or a separate aclcnowledgment 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 />aclcnowledgment verbiage as may 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 if required. <br /> <br />WITNESS my hand and 0 <br /> <br />Signature of Notary Public <br /> <br />DESCRIPTION O!fHE ATTA <br /> <br />11 )II R X o..lt(JY) <br />(Title or description of attac <br /> <br />HED DOCUMENT <br />(f(.e~j- <br /> <br /> <br />Number of Pag <br /> <br />... <br /> <br />(Additional information) <br /> <br />CAP ACITY 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 /> <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 the time of <br />notarization. <br />. Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. <br />Mlshe/they;- is leH ) or circling the co~ct 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 />0:' Indicate title or type of attached document, number of pages and date. <br />0:' 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 sigf1ed document <br />