Laserfiche WebLink
CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE§8202 <br /> ���.�c,�:r�....��.::e�.rr.�r,�-n.�:car�..rcrc.�=ram,=:oar,�:r+.err,�:e%�^,�c.err-r�s;.<.c>.c�-e,�r•.�-rr-r .ac�.�--e�:E-en^.�.--_-=n:_crr��. <br /> �ee Attached Document(Notary to cross out lines 1-6 below) <br /> See Statement Below (Lines 1-6 to be completed only by document signer[s], not Notary) <br /> o_ <br /> Signature of Document Signer No. 1 Signature of Document Signer No. 2{if any} <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 Subscribed and sworn to (or affirmed) before me <br /> County of .4 <br /> on this x, I day of A" ! H 20 X <br /> by Date Month Year <br /> {and { ), <br /> e s}of Signer s <br /> TERRY <br /> Notary aPubilc•Cad R. aLi fornia ni proved to me on the basis of satisfactory evidence <br /> ,, <br /> Orange County to be the person(s) who appeared before me. <br /> Commission$2462021 <br /> -.: •-•' My C:mm.Expires SeF 29.2027 � l <br /> i <br /> Signature <br /> f <br /> 4ignature of Notary Public <br /> Seal <br /> Place Notary Seal Above <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: °N� �' `" �"`1'71'P'/ '' /'-/ �� ocu ent Date: 04 <br /> Number of Pages: / Signer(s) Other Than Named Above: <br /> ©2014 National Notary Association - www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5910 <br />