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• • ' • <br />i • � � 0 • <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 />Countyof_ )-( } <br />On 1 2Jf IS before me, <br />personally appeared kui- ®°l &-' MRQEN %- <br />who proved to me on the basis of satisfactory evidence to be the person(*whose <br />name(6aare-subscribed to the within instrument and acknowledged to me that <br />sW-they- executed the same ir> h�' /her/ #heir -authorized capacity(ies-), and that by <br />(91/her/their signature( -s-) on the instrument the person(*, or the entity upon behalf of <br />which the person(s) acted, executed the instrument. <br />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 />,•.° 6• DANIELA BORBE <br />y <br />1n 3 coMM.# 2054639 <br />VI 8 NOiA0.YPNGEC•CAUf0AN1A N <br />Q,(,t' ��Q ^' a ^ <br />+wet•` MY COMM.AEIP, JAN•N, 1018'N <br />Notary Public Signature (Notary Public Seal) <br />OF THE ATTACHED DOCUMENT <br />(Tills or description of attached document) <br />(Title or description of attached document continued) <br />of Pages _ Document Date <br />CAPACITY CLAIMED BY THE SIGNER <br />❑ Individual (s) <br />❑ Corporate Officer <br />(Title) <br />❑ Partner(s) <br />❑ Attorney -in -Fact <br />❑ Trustee(s) <br />❑ Other <br />2015 Version www.N otaryClasses.coin 800- 873 -9865 <br />ie <br />INSTRUCTIONS FOR COMPLETING THIS FORM <br />Thisforrncomplieswith current California stahaes regarding notmy wording and <br />ifneeded, should be completedand attached to the domrmew. Acknowledgments <br />from other states may be completed for documents being sent to that state so long <br />as the wording does not require the California notary to violate Cal fornia notary <br />law. <br />• 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 ofnofarization 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 must print his or her name as it appears within his or her <br />commission followed by a comma and then your title (notary public). <br />• Print the name(s) of document sigrer(s) who personally appear at the time of <br />notarization. <br />• Indicate the correct singular or plural forms by crossing off incorrect fomss (i.e, <br />he /she /they,— is tare ) 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, re -seal if a <br />sufficient area permits, otherwise complete a different acknowledgment form. <br />• Signature of the notary public must match the signature on file 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 />• Securely attach this document to the signed document with a staple. <br />