Laserfiche WebLink
CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE § 8202 <br />�N.FIF[`hNN - rncN�•nrr - � �K`- cNCC- - �T!` _ �M _ _ _ _ _ _ _ _ <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 />x <br />Signature of Document Signer No. 1 Signature of Document Signer No. 2 ilf 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 />AS"LANCHARD <br />{ COMM. k2279550 <br />Ill_: m <br />` NNotary Public -California C <br />ORANGE COUNTY a <br />Comm. Fxplres March 3.2023 <br />Seal <br />Place Notary Seal Above <br />Subscribed and sworn to (or affirmed) before me <br />on this 20 day of April 20 21 , <br />by Date <br />�Month Year <br />(1) m� CA01- 4 rnV — <br />(and (2) ), <br />Name(l) of Signer( J <br />proved to me on the basis of satisfactory evidence <br />to be the person(s) who appearedbeforeme. <br />Signature <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: Document Date: <br />Number of Pages: Signer(s) Other Than Named Above: <br />02014 National Notary Association • www.NationaiNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #t5910 <br />