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State of California <br />County of <br />On , 20_, before me, (here insert name and title of the <br />officer), personally appeared , who proved to me on the basis <br />of satisfactory evidence to be the person(s) whose name(s) is /are subscribed to the within instrument and <br />acknowledged to me that he /she /they executed the same in his /her /their authorized capacity(ies), and that <br />by his /her /their signature(s) on the instrument the person(s), or the entity upon behalf of which the <br />person(s) acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing <br />paragraph is true and correct. <br />WITNESS my hand and official seal. <br />Signature <br />(Seal) <br />State of California <br />County of <br />On , 20_, before me, (here insert name and title of the <br />officer), personally appeared , who proved to me on the basis <br />of satisfactory evidence to be the person(s) whose name(s) is /are subscribed to the within instrument and <br />acknowledged to me that he /she /they executed the same in his /her /their authorized capacity(ies), and that <br />by his /her /their signature(s) on the instrument the person(s), or the entity upon behalf of which the <br />person(s) acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing <br />paragraph is true and correct. <br />WITNESS my hand and official seal. <br />Signature (Seal) <br />