Washington Notary Acknowledgment Form
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WASHINGTON NOTARY ACKNOWLEDGMENT

State of Washington
County of _________________

I certify that I know or have satisfactory evidence that ___________ (name of
person) is the person who appeared before me, and said person acknowledged
that (he/she) signed this instrument and acknowledged it to be (his/her) free and
voluntary act for the uses and purposes mentioned in the instrument.

Dated: ___________

(Seal or Stamp)
______________________
Signature

______________________
Title

My Appointment Expires: _____________

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