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1 <br /> ALL- PURPOSE <br /> CERTIFICATE OF ACKNOWLEDGMENT <br /> A notary public or other officer completing this certificate verifies only the <br /> 1 identity of the individual who signed the document to which this certificate <br /> is attached, and not the truthfulness, accuracy, or validity of that document. <br /> State of CA ) <br /> A- <br /> County of 11C in-et ) <br /> I <br /> i <br /> On .C. . „..)(31(., before me, Joyce Beck, Notary Public <br /> ; (Here insert name and title of the officer) <br /> • <br /> personally appeared, I y 11 . „lea u t vie- K , <br /> who proved to me on the basis of satisfactory evidence to be the person(s) whose <br /> name( (pare subscribed to the within instrument and acknowledged to me that <br /> here they executed the same in his4Dtheir authorized capacity(ies), and that by <br /> his their signature(s) on the instrument the person(s), or the entity upon behalf of <br /> whic the person(s) acted, executed the instrument. <br /> I certify under PENALTY OF PERJURY under the laws of the State of California that <br /> the foregoing paragraph is true and correct. <br /> JOYCE BECK <br /> WITNESS my hand and official seal. , COMMISSION#2004342 <br /> 2"1" <br /> � �TAALAMEDA COUNTY � <br /> ;. ;- ' MY JAN IIf 8�17RES .. <br /> C I <br /> C)I. <br /> Signature (Seal) <br /> ® • <br /> �j <br /> ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING TATS FORM <br /> This form complies with current California statutes regarding notary wording and, <br /> DESCRIPTION OF THE ATTACHED DOCUMENT if needed,should be completed and attached to the document.Acknolwedgents from <br /> other states may be completed for documents being sent to that state so long as the <br /> wording does not require the California notary to violate California notary law. <br /> (Title or description of attached document) • State and County 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 date that the signer(s)personally appeared which <br /> (Title or description of attached document continued) must also be the same date the acknowledgment is completed. <br /> • The notary public must print his or her name as it appears within his or her <br /> Number of Pages Document Date 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 /> CAPACITY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms(i.e. <br /> he/she/they, is/are)or circling the correct forms.Failure to correctly indicate this <br /> ❑ Individual (s) information may lead to rejection of document recording. <br /> O Corporate Officer • The notary seal impression must be clear and photographically reproducible. <br /> Impression must not cover text or lines. If seal impression smudges,re-seal if a <br /> (Title) sufficient area permits,otherwise complete a different acknowledgment form. <br /> • Signature of the notary public must match the signature on file with the office of <br /> ❑ Partner(s) the county clerk. <br /> ❑ Attorney-in-Fact Additional information is not required but could help to ensure this <br /> ❑ 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 /> 2015 Version wk'I r NotapiClasses COM 800 en 93da • Securely attach this document to the signed document with a staple. <br /> L <br />