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CALIFORNIA ALL - PURPOSE ACKNOWLEDGMENT <br />State of California ) <br />) SS. <br />County of ) <br />On <br />Date <br />personally appeared <br />, before me, <br />Name and Title of Officer (e.g., 'Jam Doe, Notary Public') <br />Names) of Signer(s) <br />Place Notary Seal Above <br />❑ personally known tome <br />❑ proved to me on the basis of satisfactory evidence <br />to be the person(s) whose name(s) is /are subscribed to the <br />within instrument and acknowledged to me that he /she/they <br />executed the same in his/her /their authorized capacity(ies), <br />and that by his/her /their signature(s) on the instrument the <br />person(s), or the entity upon behalf of which the person(s) <br />acted, executed the instrument. <br />WITNESS my hand and official seal. <br />Signature of Notary Public <br />OPTIONAL <br />Though the information below is not required by law, it may prove valuable to persons relying on the document <br />and could prevent fraudulent removal and reattachment of this form to another document. <br />Description of Attached Document <br />Title or Type of Document: <br />Document Date: <br />Signer(s) Other Than Named Above: <br />Capacity(les) Claimed by Signer <br />Signer's Name: <br />❑ Individual <br />❑ Corporate Officer - Title(s): <br />❑ Partner - ❑ Limited ❑ General <br />❑ Attorney in Fact <br />❑ Trustee <br />❑ Guardian or Conservator <br />❑ Other: <br />Signer is Representing: <br />Number of Pages: <br />Right Thumbprint of Signer <br />M <br />