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CALIFORNIA ALL- PURPOSE <br />CERTIFICATE OF ACKNOWLEDGMENT <br />A notary public or other officer completing this certificate verifies only the identity <br />of the individual who signed the document to which this certificate is attached, <br />and not the truthfulness, accuracy, or validity of that document. <br />State of California <br />County of Sriorc4mem k0 } <br />On JcAo 214 Z62,G before me, I Ir uo�y1, 1\Jo"�c 6 pGN I`C <br />H insert name and title the officer <br />personally appeared C �U Ir) <br />_ � . <br />who proved to me on the basis of satisfactory evidence to be the persons') whose <br />name s/aye subscribed to the within instrument and acknowledged to me that <br />;Zghh7they executed the same in , 7their authorized capacity(-_.$), and that by <br />heir signature( on the instrument the person($), 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 <br />the foregoing paragraph is true and correct. <br />WITNESS my nd and official seal. <br />Notary ublic S' nature (Notary Public Seal) <br />NAL OPTIONAL INFORMATION <br />V OF THE ATTACHED DOCUMENT <br />FtpfieDmey-1 'tom �-.,n�t'�lovt� <br />(Title o escription of attached document) <br />(Title or description of attached document continued) <br />Number of Pages l Z Document Date <br />CAPACITY CLAIMED BY THE SIGNER <br />❑ Individual (s) <br />❑ Corporate Officer <br />(Title) <br />❑ Partner(s) <br />❑ Attorney -in -Fact <br />❑ Trustee(s) <br />❑ Other <br />2015 Version www.NotaryClasses.com 800-873-9865 <br />J. TRUONG <br />COMM. N 2229888 <br />•or�gY roeuc • c�uron•u <br />SACRAMENTO COUNTY <br />Comm. exp. JAN. 28, 2022 <br />INSTRUCTIONS FOR COMPLETING THIS FORM <br />This form complies with current California statutes regarding notary wording and, <br />if needed, should be completed and attached to the document. Acknowledgments <br />from other states may be completed for documents being sent to that state so long <br />as the wording does not require the California notary to violate California notary <br />law. <br />• 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 />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 />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 by crossing off incorrect forms (i.e. <br />#e/she/they,- is /are ) or circling the correct forms. Failure 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 not cover text or lines. If 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 file with the office of <br />the county clerk. <br />Additional information is not required but could help to ensure this <br />acknowledgment is not misused or attached to a different document. <br />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 with a staple. <br />