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ALL-PURPOSE <br />CERTIFICATE OF ACKNOWLEDGMENT <br />A notary public or other officer completing this certificate verifies only the <br />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 California } <br />County of _O_ra_n_..g._e ______ _ } <br />On Al~<:;usT //,, 10;7 before me, Judi Lowenthal, Notary Public <br />' (Here insert name and title ol the officer) <br />personally appeared 7:!°xJ? / ALL oJ <br />who proved to me on the basis of satisfactory evidence to be the person(s1 whose <br />name(s) is/are subscribed to the within instrument and acknowledged to me that <br />he/she/they executed the same in his/her/their authorized capacity(~es ), and that by <br />l:lis/her/their signature(-s) on the instrument the person(S'), or the entity upon behalf of <br />which the person(s-Yacted, executed the instrument. <br />I certify under PENAL TY OF PERJURY under the laws of the State of California that <br />the foregoing paragraph is true and correct. <br />WITNESS my hand and official seal. <br />,/:,,;/" ,. / /, / // <br />t>@ct (,~ <br />Not7Public Signature (Notary Public Seal) . ( . <br />ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM <br />This fonn complies with current California statutes regarding notary wording and, <br />DESCRIPTION OF THE A TI ACHED DOCUMENT if needed, should be completed and attached to the document. Acknolwedgents from <br />(Title or description of attached document) <br />(Title or description of attached document continued) <br />Number of Pages __ Document Date I b//7 <br />CAPACITY CLAIMED BY THE SIGNER <br />O Individual (s) <br />0 Corporate Officer <br />(Title) <br />0 Partner(s) <br />O Attorney-in-Fact <br />o Trustee(s) o Other _________ _ <br />2015 Version www.NotaryClasses.com 800-873-9865 <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 />• 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 />he/she/they, is /ftffl ) 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.