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A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of ULI; Subscribed and sworn to (or affirmed) before me on this it�^ day of 20 t� by ( ofy s proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. Signature (Seal) OPTIONAL INFORMATION DESCRIPTION OF THE ATTACHED DOCUMENT (Title or description of attached document) (Title or description of attached document continued) Number of Pages _____ Document Date Additional information 201E Version 800-873-9B6f, RICARDO htAGNb••�� CpMM. #2123529 z oma^, _ 'au -' Notary Putriic •California � a � Los Angelas Cmmty M�mm, Expire& Sep. 1), 2019 INSTRUCTIONS The welding otall Jumts completed in California after January 1, 2015 must be in the form as set forth within this Jurat. There are no exceptions. It a Jurat to he completed does not follow this Pond, the notary must correct the verbiage by using ajurat stamp comaining the correct wording or allaching a separate jurat form such as this one with does contain the proper wording, in addition, the notary must require an oath or aftirmafton from the document signer regarding the truthfulness of the contents of the document. The document must be signed AFTER the oath or afrmallon. If the document was previously signal if mustils re-signed in front ofthe notarypublic during thejurat process. • State and county Information must be the state and county where the document signer(s) personally appeared before the notary public. • Date of notarization must be the date the signer(s) personally appeared which must also be the same date the jurat process is completed. • Print the names) of the document mgner(s) who personally appear at the time of notarization. • Signature of the notary public must match the signature on file with the office of the county clerk. • The notary seal impression must be clear and photographically reproducible. Impression must not cover text or lines. If seal impression smudges, re -seal if a sufficient area permits, otherwise complete a different jurat form. t• Additional information Is not required but could help to ensure this jurat is not misused or attached to a different document. Indicate title or type of attached document, number of pages and date. • Securely attach this document to the signed document with a staple.