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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 Mfla } <br />On �Z S� } before me,Ul �04m, ,It�V6 <br />t ere Insertname and a mineo cerVV <br />personally appeared <br />who proye4 to me on the basis of satisfactory evidence to be the person hose <br />s/ubscibedtothe within instrument and acknowledged to me that <br />executed th same iuthorized capacity(, and that by <br />signturonthe ii�l�strument the perso))(0, or the entity upon behalf of <br />@1ch <br />the personc`ted, 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 />�---� LILIAN�ANdT�E L� <br />�/�NE55 � <br />171y hand and o ICI81 Seal. F ,,.. GgMM.#?10SO . <br />(ss NotarY Public - California -� <br />co MYGomm�EX9.ApES GO� 2019 <br />Notary Public Signature (Notary Public Seal) <br />ADDITIONAL OPTIONAL INFORMATION INSTRUCTIONS FOR COMPLETING THIS FORM <br />Thts <br />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. Acknowledgments <br />1 t7 from other states may be completed for documents being sent to that state so long <br />TAAr;' rel /�J, f' i(l p �) V�„ nl a (/On G' as the wording does not require the California notary to violate California notary <br />0P 11 V �Jd r o L <br />V n.f' law. <br />(Title or description ontaftached 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 signers) 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 time 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 names) of document signer(s) who personally appear at the time of <br />notarization. <br />CAPA TY CLAIMED BY THE SIGNER • Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. <br />� IVI(IUaI' he/shetthey— is /are) or circling the comet forms. Failure to correctly indicate this <br />information may lead to rejection of document recording. <br />❑ Corporate Officer <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 />(Title) sufficient area permits, otherwise complete a different acknowledgment form. <br />❑ Partner(s) • Signature of the notary public must match the signature on file with the office of <br />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 is w.NotaryClassesxcnn 800-873-9865 • Securely attach this document to the signed document with a staple. <br />