• Notary Acknowledgement Form

  • On the   Pick a Date   before me,          the undersigned Notary Public, personally appeared          , who proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknowledged to me that          executed the same in         authorized capacity, and that the signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument.

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