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California All -Purpose Acknowledgment <br />The so-called "all-purpose" acknowledgment wording, as prescribed in <br />California Civil Code Section 1189(a), is mandatory for all acknowledgments <br />taken in the state, whether the acknowledger is signing as an individual or <br />a representative (partner, corporate officer, attorney in fact, trustee, etc.). <br />Law permits California Notaries to use an out-of-state acknowledgment <br />form on a document that will be filed in that other state or U.S. jurisdiction, <br />but only if "the form does not require the Notary to determine or certify <br />that the signer holds a particular representative capacity or to make other <br />determinations and certifications not allowed by California law" (Civil Code <br />Section 1189[c]). <br />Instructions: <br />Q NAME OF COUNTY where <br />Notary performs notarization. <br />Q DATE OF NOTARIZATION. <br />Actual month, day and year in which <br />signer(s) appear(s) before Notary. <br />Q NAME AND TITLE OF <br />NOTARIZING OFFICER. In the case <br />of a Notary,"Notary Public" would be <br />the title. <br />Q NAME(S) OF SIGNER(S) <br />appearing before Notary_ Initials and <br />spelling of name(s) should agree with <br />name(s) signed on document and ID card. <br />Line through any remaining space. <br />Q SIGNATURE OF NOTARY <br />exactly as name appears on commissioning <br />papers, in space 3 and in seal. <br />Q NOTARY SEAL IMPRINT, <br />clearly and legibly affixed. <br />SPACES 7-14 ARE OPTIONAL. <br />Omission of information here will <br />not affect the document's validity. <br />However, completing these spaces can <br />deter alteration of the document or <br />fraudulent reattachment of this form <br />to on unintended document. <br />Q TITLE OR TYPE OF <br />DOCUMENT notarized, such as <br />"Grant Deed." <br />Q DATE OF DOCUMENT notarized. <br />Most but not all documents will have a <br />date, usually at the top or following the <br />signature. If none, insert "No Date." <br />Q NUMBER OF PAGES in the <br />notarized document. This may point out <br />fraudulent addition or removal of pages. <br />Do not count the certificate as a page. <br />However, the certificate will be regarded as <br />a page by recording officials in assessing <br />recording fees. <br />Still, however, any acknowledged document notarized and filed or <br />recorded in California must bear only an all-purpose certificate. <br />State law requires the "all-purpose" certificate wording to be used exactly <br />as it appears in statute. <br />The optional section at the bottom can deter alteration of the document <br />or fraudulent reattachment of this form to an unintended document The <br />insertions in this section are not required by law. Failure to fill out this <br />section will not affect the validity of the certificate. <br />pµyp�Nµ IItNPIM�LY �p�L�Ft CIVIL CODE § 1199 <br />L-yl�dAa�i al or olhnllm�n eniphY�, ILrc e - ii n-Iy lM1e amaly cllh­a I,,l w1ho lm anmme l <br />��_��,���� � h,J ananarnewwwm�aav�,y,a yaodnva`m=l Jatnn��1 <br />'uM�NC�W.I. <br />Q Dn �lkilp �1�s�� u.m....© vat iz Vis: tt�Far <br />personally appeared <br />ksbl�la✓>�9V <br />M1,Proved Io me pn 91e basis o1 saasloclary eNeence to be Ne Perspnls7 wnoze nnmgslNW4ilcnbetl <br />oIVC w11M1ln Inslmmem ane ack,ro dgcat. me 11.11M1cIsMIIM1cy e..ecumtl tM1c same In 1,1SWI <br />cullI - bcapaciryjics7 ane V,atNSIVcr/1M1slgnalurc s)on Inc InsVumenl LM1c perspMsl or IM1c enV1y <br />upon ll of -h 1M1a ­­(,)­­(,),) need - <br />execulee 1Vc Instrument <br />O 1 ce ry unacr PENALTY OF PEPJUPY unacr IM1c <br />law: pnno slam or abm,nia mx me mregping <br />11 ���� pnrngmpM1 is slue and carrttl <br />wlrFv[59 dry1., ]n,K lrtb19l1L <br />Slgnnlure <br />vb«N ry al arM o. slo P bout g-- ul Nalury Public <br />g.n,.,n�_,m nn nllne,ne <br />Clr udulen r_ollocllmenl al lhls loan to an .,urn.ended dccum_nl <br />Tdcrlpllan o1AR.—d Document �y� <br />w Tyw� oemmrl,l Lw <br />Slgner(s)01- TM1nn N.—d Above 1'd a.••v <br />1, l O Signer's Nanle: <br />O�C�. 1.11--L1.1 TrtIMz7: o Co,pmalc Of9cc1-Ti11c(z) <br />o Par =Limn ml D Par Llmaed o Gen rat <br />IndlWdual In Fact D Inai 1- O o Atlomcy 1 Fact <br />I ua Jia Yol Cans=lvalol n Truslca O Gual clan of Cunselvaio <br />0 OLI, 1, e o O1FCI: <br />slgncrmRepresenbng: ra.+r�..[AM+v <br />NATIONAL <br />NOTARY <br />ASSOCIATION <br />m SIGNER(S) OTHER THAN <br />NAMED IN SPACE 4. Since all <br />signers might not be named on the <br />same notarial certificate, insert name(s) <br />of signer(s) here that appear(s) or will <br />appear on other certificates — as many as <br />space allows. If there are a large number <br />of signers, a notation such as "Mary Smith <br />and 28 other signers" will suffice. If none, <br />insert "no other signers." <br />m NAME(S) OF SIGNER(S) from <br />space 4 whose capacity and represented <br />entity follow. <br />® CAPACITY CLAIMED BY <br />SIGNER. Check appropriate box to <br />indicate whether signer. is signing as <br />individual (on his or her ovan behalf), or <br />as corporate officer (indicate corporate <br />title), partner (indicate whether "limited" <br />or "general" partner), attorney in fact, <br />trustee, guardian/conservator, or in <br />another capacity. <br />® DESCRIPTION OF OTHER <br />CAPACITY(IES). A single capacity, <br />such as "executor," may be indicated <br />here; or a multiple capacity, such as <br />"corporate officer signing for partnership <br />in which corporation is partner." <br />C) NAME OF PERSON OR LEGAL <br />ENTITY that signer is representing. <br />It could, for example, be the name <br />of an absent person represented by <br />attorney in fact. It could be the name <br />of a condominium association, such <br />as "Blue Lagoon Condo Assn." Or it <br />could be multiple entities, such as "XYZ <br />Corp., partner in Mutual Enterprises, a <br />partnership." <br />9350 De Soto Ave., Chatsworth, CA 91311-4926 1 1-800-876-6827 1 National Nota ry.org <br />02017 National Notary Association Item 905907 <br />