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CALIFORNIA JURAT WITN AFFIANT STATEMENT <br />GOVERNMENT CODE § 8202 <br />❑ See 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 />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 <br />County of Orange <br />KRISTEN RENEE, CZUPRYN <br />111 ' Commission # 1996022 <br />1� Notary Public - California <br />. Orange Courdv <br />Ny Comm Fymr , s t` <br />Seal <br />Place Notary Seal Above <br />Subscribed and sworn to (or affirmed) before me <br />on this _ 7th day of October _, 20_.1.6.'.._.., <br />by Date Month Year <br />(1)_Willi�mF3_l7ayenpprt____ -- - —.- <br />(and <br />Names) of Signers) <br />proved to me on the basis of satisfactory evidence <br />to be the person(s) who appeared before me. <br />� <br />Signature <br />Notac ._._..._.._ <br />�7f�7.717 <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: Non - Collusion Affidavit_ Document Date: ._- _.10 -7 -16 <br />Number of Pages: _ 1...._. 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 />23B -52 <br />