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�aiao94�3 <br />CALIFORNIA ALL-PURPOSE <br />CERTIFICATE �F ACKNOWLEDGMENT <br />State of California <br />County of y�,�c <br />On�%��n���,�% /8,.�o�r� before me, :�. ��r��r � > <br />(Here insert name and title of the o�cer) <br />personally appeared .�. � � <br />who proved to me on the basis o�'satisfactory evidence to be the person��j whose narne(s� is/ara subscribed to <br />the within instrument and acknowledged to me that 1�/she/th�y executed the same in }ais/her/tl�eir authorized <br />capacity(-i�, and that by h.i�s/her/tt�r signature(s� on the instrument the person(�-}; or the entity upon behalf of <br />which the person(•s} acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph <br />is true and correct. <br />WITNESS my hand and official seal. <br />� <br />�_ i �s. � � -- <br />SignatureofNota u l�c <br />� 5. AMARQ � <br />U CQMM. # 1837681 <br />� - NOTARY PUBLIC � CALIFORNIA Q <br />YOLQ CqUNTY n <br />1� COMM. EXPIRES FEB. 21 2013 � <br />(Notary Seal) /'�""�'"'"`�"" <br />ADDITIONAL, OPTIONAL INFORMATION <br />DESCRIPTION OF THE ATTACHED DOCUMENT <br />,_.,. ' ��EE� � F �i�l�? fi" - <br />(Title or description of attached document) <br />(Title or description of attached document continued) <br />Number of Pages i'� Document Date /� � i <br />(Additional information) <br />CAPACI'T'Y CLAiMED BY THE SIGNER <br />�' Individual (s3' <br />❑ Corporate Officer <br />(Title) <br />❑ Partner(s) <br />❑ Attorney <br />❑ Trustee(s) <br />C� Other <br />INSTRUCTIONS FOR COMALETINC TH1S FORM <br />Any acknawledgment completed in California must cantain verbrage exucady as <br />appears above in the notary section or a separade acknowledgment form musl 8e <br />properly completed and attached to that document. The nnly exception is ff a <br />document is tn be recorded ot�lside af C.`alifnrnia. In such inslances, any alternative <br />acknawledgment verbiage as mpy be prrnted on such a document sn long as the <br />verbiage does not require the natarv to do something thae is i!lega! for a notary in <br />Calrfornia (i.e. certifying 1he autharized capaciry of !he signer). Please check Lhe <br />dacument carefully for proper notarial wordeng and attach this farm if required. <br />• State and Counry information must be the State and County where the document <br />signer(s) personally appeared before the notary public for acknowledgment. <br />• Date of notarization must be the datc that the signer(s) personally appcared which <br />must also be the same date the acknowledgment is completeJ. <br />. T'he nntary 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). <br />• Print the name(s) of document signer(s) who personally appear at the time of <br />notarization. <br />• Indicate the correct singular or plural forms hy crossing off incorrect fonns (i.e. <br />kr/she/ihey is /are ) or circling the cnttect forms. Pailure to correctly indicate this <br />information may lead to rejection of document recording. <br />• The notary seal impression must be clear and photographically reproducible. <br />Impression must nnt cover text or lines. Tf seal impression smudges, re-seal if a <br />sufficient area permits, otherwise complete a different acknowledgment form. <br />• Signature of the notary public must match the signature on fila with the oPfice of <br />the county clerk. <br />. Additional information is nvt reyuired hut could help to ensure chis <br />acknowledgment is not misused or attached to a different document. <br />. Indicate title or rype of attached document, number of pages and date. <br />. lndicate che capacity claimed by the signer. lf the claimed capacity is a <br />corpvrate officer, indicate the title (i.e. CEO, CFO, Secretary). <br />• Securely attach this document to the signed document <br />2008 Version CAPA v12.10.07 800-873-9865 www.NotaryClasses.com <br />