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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 66 A 0m } <br />On nn��/ % Y ) � �`� L- 1 <br />�� � � `be`fore me <br />Ili I ere insert name and Re of the officer) <br />personally appeared S (_A) a l ( c) 4 <br />who proviad to me on the basis of satisfactory evidence to be the person(s) whose <br />me(s is! re subscribed to the wit 'n instrument and acknowledged to me that <br />5e/they executed the same in is er/their authorized capacity(ies), .and that by <br />tchthe <br />r/their signature(s) on the instrument the person(s), or the entity upon behalf of <br />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 hand and official seal. <br />@MAUREEN EUZABEM MGQUl0AN,_ <br />COMM. #2279190 In <br />ILI NOTARY PUBLIC -CALIFORNIA X <br />SONOMA COUNTY r <br />My Comm. Expires March 29, 2023 <br />INSTRUCTIONS FOR COMPLETING THIS FORM <br />ADDITIONAL OPTIONAL INFORMATION <br />This form complies with current California statutes regarding notary wording and. <br />DE CRIPTION OF THE ATTACHED DOCUMENT tfneeded, should be completedand attached to the document. Acknowledgments <br />from other states may be completedfor documents being sent to that stale so long <br />S li �A A as the wording does not require the California notary io violate California notary <br />/aw. <br />( i e or description of attacheddocument) • 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 />(Title ordescription of attached document continued) • 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 inust 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 sianer(s) who personally annear at the fime of <br />• Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. <br />ke/she/they r 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, reseal if a <br />sufficient area permits, otherwise complete a different acknowledgment form. <br />• Signature of the notary public must match the signature on rile 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 />2015 Version www NotaryClasses corn 800-873-9865 • Securely attach this document to the signed document with a staple. <br />