Laserfiche WebLink
• <br /> r c <br /> CALIFORNIA ALL—PURPOSE <br /> CERTIFICATE OF ACKNOWLEDGMENT I' <br /> e <br /> 1 State of Califo ilia <br /> I County of Qm' L <br /> U LA- <br /> „�LL <br /> { On - xi 4beforeme, 6k . . r oct I'V�uY PUb11. <br /> I (Here insert name and title of the officer) <br /> Il T' 1 <br /> o\ri <br /> l <br /> personally appeared ''11na > <br /> Iwho proved to me on the basis of satisfactory evidence to be the person( }whose name( is/ape subscribed to <br /> Lthe within instrument and acknowledged to me thatActshe%tlity executed the same in)rK/herttlefr authorized I <br /> capacity(,i ), and that by IJjtsfher/fir signature(„sgon the instrument the person(, or the entity upon behalf of <br /> which the personlacted, executed the instrument. : 1 <br /> I I ce tify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph 1 <br /> is tr ie and correct. i <br /> HEATHER A.HARPER <br /> Commission# 1973919 <br /> a d s,1 tt- Notary Public-California z <br /> WI NESS my hand • offic .I seal. z `� r�, Contra Costa County — <br /> I_ '' ' My Comm.Expires Apr 28.2016 <br /> Si_ at, of NotargPublic <br /> 3 <br /> AllDITIONAL OPTIONAL INFORMATION , <br /> INSTRUCTIONS FOR COMPLETING THIS FORM i <br /> Any acknowledgment cwnpleted in California ,mist contain verbiage exactly as <br /> DESCRIPTION OF THE ATTACHED DOCUMENT appears above in the notary section or a separate acknowledgment form 7nus1 be <br /> c om pl ted and attached'to that document. The onlyexception is i a <br /> %l�l.Gt Y �J�i lbbl a- K' 't'� e properly 1 ! <br /> �G"�-`�� document is to he recorded outside'ojl:'alff<rrnia.In such instances,aro alternative <br /> —_._..— _...__ _.-._ acknowledgment verbiage as may he printed on such a document so long as the <br /> fitl 'or clesciiption of attached document) verbiage does not require the notary to do something that is illegal fora notmr in I <br /> (� r Cali bruin(i.e. curl r n g the authorized capacity ofthe sr ner) Please check the <br /> I. <br /> ' - � ' document carc/idlt f r proper notarial wording and attach this form if required. <br /> (1'ttle or description nl'attached documenrconUn e' � <br /> j • State and County information must be the State and County where the document <br /> Number o f Pages ______ Document Date __._ signer(s)personally.appeared before the notary public for acknowledgment. <br /> l � © • Date or notarization must he the date that the signer(s)personally appeared which <br /> CLb4J 1/ 7S W "►Y! must also be the same date the acknowledgment is completed, <br /> . (7*84.--9 Additional information <br /> • The notary public must print his or her name as it appears within his or her <br /> ( )v���� ” commission followed by a comma and then your title(notary public). I <br /> •' Print the name(s)of document signer(s) who personally appear at the time of <br /> I notarization, <br /> CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms(i.e. <br /> Individual(.0 he/she/they, is/aee)or circling the correct forms.Failure to correctly indicate this I <br /> information may lead to rejection of document recording. j <br /> Corporate Officer • The notary seal impression must be clear and photographically reproducible. II <br /> _ _ Impression must not corer text or lines.if seal impression smudees,re-seal if <br /> (Title) • sufficient area permits,otherwise complete a different acknowledgment form. <br /> ❑ Partner(s) • Signature of the notary public must match the signature on ale with the office of <br /> (he county clerk. <br /> 0 Attome n FactAdditional information is not required but could help to ensure this <br /> , 0 Trustee(s) acknowledgment is not misused or attached to a different document. <br /> ❑ Other _. . Indicate title or type of attached document,number of pages and date. <br /> Indicate the capacity claimed by the signer.If the claimed capacity is a <br /> corporate 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 />