Laserfiche WebLink
CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br />CIVIL CODE § 1189 <br />r�rdrert nn �c�csrdn4rdrzrasss�rcc�raxers��res�.rdrer�nrscs>� .rr� -.-, — �r.��.,�.�scerssrass.c� <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 <br />On <br />Date <br />personally appeared <br />before me, <br />Here Insert Name and Tide of the Officer <br />Name(s) of Signers) - <br />who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are <br />subscribed to the within instrument and acknowledged to me that he/she/they executed the same in <br />his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the Instrument the person(s), <br />or the entity upon behalf of which the person(s) acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws <br />of the State of California that the foregoing paragraph <br />is true and correct. <br />WITNESS my hand and official seal. <br />Signature <br />Place Notary Seal Above <br />Signature of Notary Public <br />OPTIONAL <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: <br />Number of Pages: <br />Document Date: <br />Signer(s) Other Than Named Above: <br />Capacity(ies) Claimed by Signer(s) <br />Signer's Name: <br />❑ Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual FJ Attorney In Fact <br />❑ Trustee I Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />Signer's Name: <br />1.1 Corporate Officer — Title(s): <br />❑ Partner — ❑ Limited ❑ General <br />❑ Individual I I Attorney in Fact <br />❑ Trustee I I Guardian or Conservator <br />❑ Other: <br />Signer Is Representing: <br />02014 National Notary Association - www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #t5907 <br />