Utah Notary Acknowledgment Form
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State of Utah
County of _________________

On this ________ day of ________, in the year _____, before me
_____________ (notary public name) a notary public, personally appeared
________________ (name of document signer), proved on the basis of
satisfactory evidence to be the person(s) whose name(s) ________ (is/are)
subscribed to this instrument, and acknowledged ________ (he/she/they)
executed the same.

Witness my hand and official seal.

Notary Public


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