Request Form For Notice Under California Civil Code Section 2924b Page 2

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State of California )
County of
)
On________________ before me, _____________________________ , a Notary Public (here insert name and title of the
officer), personally appeared _________________________________________________ , who proved to me on the basis of
satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that
he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument
the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.
WITNESS my hand and official seal,
Signature
(Seal)

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