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CALIFORNIA ALL - PURPOSE <br />CERTIFICATE OF ACKNOWLEDGMENT <br />State of California <br />County of <br />On U �_ L—. before me, 10tt r2 t D N" r(%b(,IL <br />(Here insert name and title of tllc ofhccr) <br />personally appeared �( (� {iyOK_/1) A- a (( <br />who proved to me on the basis of satisfactory evidence to be the person(B) whose name(s) I subscribed to <br />the within instrument and acknowledged to me thatirz sh trey executed the same hT his their authorized <br />capacity(- ), and that by hi he their signature( -s) on the instrument the person(S), or the entity upon behalf of <br />which the person(s) acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph <br />is true and correct. <br />MELISSA D VINCENT <br />E' Commission # 1985528 <br />WITNESS my hand and official seal. t Notary Public 'California <br />Orange County <br />My Comm. Expues'�,Jui 20, 2 <br />Notary (Notary Seal) <br />Sig nature al'NO[ary public <br />ADDITIONAL OPTIONAL INFORMA <br />DESCRIPTION OF THE ATTACHED DOCUMENT <br />- V(ritle or description ofauccl od document) <br />1 s kv n _ <br />(Title or description of attached document continued) <br />Number of Pages ____ Document Date__ <br />(Additional information) -- - <br />CAPACITY CLAIMED BY THE SIGNER <br />❑ Individual (s) <br />Corporate Officer <br />- I (Title) <br />❑ Partner(s) <br />❑ Attorney - in -Fact <br />❑ Trustce(s) <br />❑ Other <br />2003 Vmsion CAPA v12 10 07 800- 873 -9865 www.NotaryClasses.com <br />INSTRUCTIONS FO[Z COMPLETING THIS FORM <br />Any acknowlsdgnient Completed tnl California must contain rerbiage exactly as <br />appears above in the notary section or a separate acknowlerfpaw form owsr be <br />properly completed and attached (a oral document. The only exception is if a <br />domanenl is to be recorded mdside of California. In such instances, any altenrarive <br />acln owledgmew verbiage as pray be printed an such a docwnenr so long as the <br />rerbiage does nor reqube (be ratan• to do something that is illegal far a notary in <br />Calrfornia (i.o, cert fling ilre aulhohized capacity of the signer'). Please check (le, <br />document Carefully for proper norarlpl wording arrd attach rhis farm rf required. <br />• State and County information mdit 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 />most also be the same date [he acknowledgment is completed. <br />• The notary public must print hi or her name as it appears within his or her <br />commission followed by a commaiand then your title (notary public). <br />• Print the name(s) of document signer(s) who personally appear at the time of <br />notarization. <br />t <br />• Indicate the correct singular or pi Nral forms by crossing off incorrect forms (i.c. <br />he /she /trey; is /are ) or circling the correct forms, Failure to correctly indicate this <br />information may lead to rejection efdocument recording. <br />• The notary seal impression must be clear and photographically reproducible. <br />Impression must not cover test or lines. If seal impression smudges, ro-scal il' a <br />sufficient area permits, otherwise 9carocte a dirl'erent acknowledgment form. <br />• Signature of the notary public meet match the signature on rile with the off ice of <br />the county clerk. <br />Additional information iil not required but could help to ensure this <br />acknowledgment is not misused or atached to a dit76rent document. <br />Indicate tide or type of atached document, number of pages and dare. <br />Indicate the capacity claiiymd by file signor. If the claimed capacity is a <br />corporate officer, indicate the tiuc (i.c. CEO, CEO, Secretary). <br />Securely attach this document to till: signed document <br />