Free notary acknowledgement 05Free notary acknowledgement 05Free notary acknowledgement 05
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ACKNOWLEDGEMENT BY INDIVIDUAL

STATE OF

)

COUNTY OF

) ss.

On the

day of

, 20

, before me personally

appeared
to me known to be the person/persons described in and who executed the foregoing instrument,
and acknowledged that

executed the same as

free act and deed.

IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my official seal in
the County and State aforesaid, the day and year first above written.

My term expires:
Notary Public

(NOTARY SEAL)

ACKNOWLEDGEMENT BY CORPORATION

STATE OF

)

COUNTY OF

) ss.

On the

day of

, 20

, before me appeared

to me personally known, who, being by
me duly sworn, did say that

is/are the

of

, a Corporation of the State of
, and that the seal affixed to the foregoing instrument is the

corporate seal of said Corporation, and the said instrument was signed and sealed in behalf of
said Corporation by authority of its Board of Directors; and said
acknowledged said instrument to be the free act and deed of said Corporation.