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California All -Purpose Acknowledgment <br />The so-called "all-purpose" acknowledgment wording, as prescribed in <br />Still, however, any acknowledged document notarized and filed or <br />California Civil Code Section 1189(a), is mandatory for all acknowledgments <br />recorded in California must bear only an all-purpose certificate. <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 />State law requires the "all-purpose' certificate wording to be used exactly <br />as it appears in statute. <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 />The optional section at the bottom can deter alteration of the document <br />but only if "the form does not require the Notary to determine or certify <br />or fraudulent reattachment of this form to an unintended document. The <br />that the signer holds a particular representative capacity or to make other <br />insertions in this section are not required by law. Failure to fill out this <br />determinations and certifications not allowed by California law" (Civil Code <br />section will not affect the validity of the certificate. <br />Section 1189[cD. <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 />C -,-*P W. y,M-PDEE 1C11a,OW`LI DG "T CIVIL CODE 41189 <br />�poli camrc,vWrs,onplmivgme ml As,le.,e,M1ev�hni, mry�wrenhdwhl,vsi9nevllmtlnmme-I � <br />.II Nis_c, c, .c sa NrnvJ-�aJnul AceuNlulne-+ xyou valitlily <br />csu-,n IQS <br />Nam�,=,ofsgaerl„ <br />wM10 prowtlmme <br />eciryo(esm)e bdasnicskmsNali g"1oemriaenmM1mxM1flmeypemsonlse) thoe nmm ln hi <br />zlM1amrlsM1ubrs <br />nmca <br />rand IM1aI by nlvnarllnalr slgnaWrc(s) on IM1e Inslrumenl IM1e persoMsl, or IM1e en[iry <br />upon benalf of wM1ICM1 Ibe perzon(s) acted executed IM1e instrument <br />Ic fy antler PENALTY OF PERJURY under IM1e <br />O ■1yr.,�.�./.µ.., Incas ranee smle orearm,nla Ina! mo mragomg <br />-1� ParagraPM1 Iz Vuc and correR <br />. •--_, iLlw 11}M1rTik.lMlW�41MM n <br />,actx al av nsry mve Slynulura al N..rury PULec <br />or,lenw <br />m on,ai atla, <br />I— dot <br />rn� nemr_nlrncnmen°ollal,lo,mfaoannlme d dLce m_m <br />M�[RP9p,Kr<11ubN Dnewr.M �y� <br />Ty -v Tvlx H y.u,nrnl _i�eo <br />Slgncr(s)OIM1cr ThnnHwd Ahu. � r1 <br />1 Of— -Tldl R) 01 Carpo Nle Officer - TRIe(s) <br />Panner- = Limited O General o Parinar- o Lift -o General <br />Intllndual O AR.—V in Fncl o Indlvldual o ALLorncy In Facl <br />nG 141li vl Consnvalol DT,uslec O6uauian of Cvnwrva'o <br />O Otbee <br />Sig— N se Slgncr•i � //� <br />NATIONAL <br />NOTARY <br />ASSOCIATION <br />G) 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 own 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 NationalNotary,org <br />C2017 National Notary Association Item /!05907 <br />