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--- ----- ---__-----..._.....---€ <br /> . i <br /> � CALIFORNIA ALL-PURPOSE � <br /> ; <br /> ; <br /> ; CERTIFICATE OF ACKNOWLEDGMENT € <br /> � <br /> � G <br /> � State of California � <br /> ± County of JC�� MG��"�''� i <br /> � <br /> i <br /> � � <br /> I <br /> 1 <br /> � �n ��F�'n�� ����D�� before me, �(�,S-�e-� (��P��� Na��� ��V�t� , i <br /> (Here insert name and title of the officer) I i <br /> , , I{ <br /> � personally appeared ��j lC� K� �G�'�/� ��" ��/O•'� <br /> i <br /> ' who proved to me on the basis of satisfactory evidence to be the person�whose name�is/a subscribed to i i <br /> i t h e w i t hin instrument and acknowled ged to me that he/s�t h;�y executed the same in his/ /� authorized �! <br /> � capacity(i�, and that by his/�/t�r signature�on the ins�rument the person,(�'j or the entity upon behalf of � <br /> which the personf�'f acted, executed the instrument. �i <br /> i / �! <br /> i I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph j� <br /> is true and correct. I; <br /> ' ���TEN MEES � I <br /> Co�lliui0n�tA2�11 � <br /> WITNESS my hand and official seal. �y�,� ; <br /> � <br /> 8�n M�MO Cou�► <br /> ` M Canin.EM�I,n,, s Nov 18 201� ! <br /> � I /� � ()f)� ,�a ,�n <br /> s 6�zi1�V�`�""� (Notary Seal) '�"���'�� j; <br /> Signature�Qotary Public �� <br /> ' i': <br /> Ij <br /> !; <br /> ADDITIONAL OPTIONAL INFORMATION i� <br /> ' INSTRUCTIONS FOR COMPLETING THIS FORM I; <br /> Any acknowledgment completed in California must contain verbiage exactly as ' <br /> DESCRIPTION OF THE AT'TACHED DOCUMENT appears above in the notary section or a separate acknowledgment form must be E <br /> � properly completed and attached to that document. The only exception is rf a ` <br /> lr\ I � v 4- document is to be recorded outside of Calijornia.In such ins�ances,any alternatrve i <br /> 3 "'+ "��� ���c�v,�� � aclmowledgment verbiage as may be printed on such a document so long as the ,s <br /> i (Title or description of attached document) ,, <br /> _ verbrage does not require the notary to do some�hing lhat is illegal for a notary in + <br /> � California (i.e. certifying the authorized capacity of the signer). Please check the !; <br /> (Title or description of attached document co�tinued) document carefully for proper notarial wording and aaach this jorm if required. �� <br /> j • State and County information must be the State and County where the document f <br /> ; Number of Pages � Document Date N)� signer(s)personally appeared before the notary public for acknowledgment. �{ <br /> � �I � • Da te o f no t ariza tion mus t be t he da te t ha t t he signer(s)persona l ly appeare d w hic h �i <br /> � must atso be the same date the acknowledgment is completed. j <br /> ; (A ditional information) • 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). j <br /> 1 • Print the name(s) of document signer(s) who personally appear at the time of E <br /> notarization. <br /> ; CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms(i.e. j <br /> � Individual(s) �/she/il�ey-is/are)or circling the correct forms.Failure to correctly indicate this k <br /> i information may lead to rejection of document recording. E <br /> ❑ Corporate Officer • 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 i <br /> � (Title) sufficient area permits,otherwise complete a different acknowledgment form. i <br /> ' ❑ Partner(s) • Signature of the notary public must match the signature on file with the office of � <br /> � the county clerk. i <br /> ❑ Attomey-in-Fact . Additional information is not required but could help to ensure this � <br /> f <br /> ❑ Tlustee(S� acknowledgment is not misused or attached to a different document I <br /> ❑ Other . Indicate title or type of attached document,number of pages and date. j <br /> i . Indicate the capaciry claimed by the signer. If the claimed capacity is a � <br /> j corporate officer,indicate the title(i.e.CEO,CFO,Secretary). � <br /> • Securely attach this document to the signed document � <br /> I <br /> � _� <br /> 2008 Version CAPA v12.10.07 800-873-9865 www.NotaryClasses.com <br />