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CALIFORNIA ALL- PURPOSE <br />CERTIFICATE OF ACKNOWLEDGMENT <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 />County of <br />On before me, (Here insert name and Iiee of t e officer <br />personally appeared''' <br />who proved to me on the basis of satisfactory evidence to be the persons) whose <br />n me( s/fir '"subscribed to the within instrument and acknowledged to me that <br />/ e '(16; <br />/-'h the same in his/her/their authorized capacity(iegI, and that by <br />Is' I�e%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 />iertify under PENALTY OF PERJURY under the laws of the State of California that <br />e foregoing para2,raph is true and correct. <br />fITNESS my h rid and official sal. rMAOC <br />�RICEL LAMAS 3 <br />COMM. # 2080737 <br />(ry •s NOTARY PUBLIC -CALIFORNIA <br />-_" ORANGE COUNTY A <br />COMM. EXPIRES OCT. 3, 2018'' <br />nary Public SignatJj_.---- (Notary Public Seal) <br />ADDITIONAL OPTIONAL INFORMATION <br />DESCRIPTION OF THE ATTACHED DOCUMENT <br />(Title or description of attached document) <br />(Title or description of attached document <br />Number of Pages _ Document Date <br />CAPACITY CLAIMED BY THE SIGNER <br />,L Individual (s) <br />❑ Corporate Officer <br />(Title) <br />❑ Partner(s) <br />❑ Attorney -in -Fact <br />Ti Trustee(s) <br />❑ Other <br />1015 V/ fr non www Nr a„rytan>st R.carri S00-873MG5 <br />INSTRUCTIONS FOR COMPLETING THIS FORM <br />7hisforrmcomplieswith curren7Calfmwiastatutesregardingnotarvn,ordingand, <br />if needed, should be completed and attached to the document Acknowledgments <br />fi-onn 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 California 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 of notarization must be the date that the signer(s) personally appeared which <br />must also be the same date the acknowledymrent is completed. <br />• The notary public must print his or her name as if appears within his or her <br />commission followed by a comma and then your title (notary public). <br />• Print the names) of document signcr(s) who personally appear at the time of <br />notaritral'ion. <br />• indicate the correct singular or plural forms by crossing off incorrect forms (i.e. <br />he/she/fhey— is /are ) 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, ie -seal if a <br />sufficient area permits, otherwise complete a different acknowledgment form. <br />• Signature of the notary public must match the signamre on file with the office of <br />file 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, Soon elary). <br />• Securely attach this document t'o the signed document with a staple. <br />