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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE § 1189 <br />A notary public or other officer completing this certificate verifies only the identity of the individual who signed the <br />document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. <br />STATE OF CALIFORNIA, <br />County of } SS. <br />On , before me, . Notary Public <br />Date <br />personally appeared <br />who proved to me on the basis of satisfactory evidence to be the person(s) whose names(s) <br />is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the <br />same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the <br />instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the <br />instrument. <br />I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing <br />paragraph is true and correct. <br />FOR NOTARY SEAL OR STAMP <br />WITNESS my hand and official seal. <br />Signature of Notary Public <br />OPTIONAL <br />Though this section is optional, completing this information can deter alteration of the document or <br />fraudulent reattachment of this form to an unintended document. <br />Description of Attached Document <br />Title or Type of Document: <br />Document <br />Signer(s) Other Than Names <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: <br />❑ Individual <br />❑ Corporate Officer— Title(s): <br />❑ Partner— ❑ Limited ❑ General <br />❑ Attorney in Fact <br />❑ Trustee <br />❑ Guardian or Conservator <br />Number of Pages: <br />Signer's Name: <br />❑ Individual <br />❑ Corporate Officer —Title(s): <br />❑ Partner— ❑ Limited ❑ General <br />❑ Attorney in Fact <br />❑ Trustee <br />❑ Guardian or Conservator <br />