Form U-2 - Uniform Consent To Service Of Process Page 4

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CORPORATE ACKNOWLEDGMENT
State or Province of______________)
County of _______________________) ss.
On this ______ day of _____________, 20 _____ before me ____________________ the
undersigned officer, personally appeared _____________________________________ known
personally to me to be the ___________________ of the above named corporation and
(Title)
acknowledged that he, as an officer being authorized so to do, executed the foregoing instrument for
the purposes therein contained, by signing the name of the corporation by himself as an officer.
IN WITNESS WHEREOF I have hereunto set my hand and official seal.
____________________________________________
Notary Public/Commissioner of Oath
My Commission Expires_________________
(SEAL)
INDIVIDUAL OR PARTNERSHIP ACKNOWLEDGMENT
State or Province of ____________)
County of _____________________) ss.
On this _______day of ______________, 20______, before me, _______________,
the undersigned officer, personally appeared ____________________________ to me personally
known and known to me to be the same person(s) whose name(s) is (are) signed to the foregoing
instrument, and acknowledged the execution thereof for the uses and purposes therein set forth.
In WITNESS WHEREOF I have hereunto set my hand and official seal.
____________________________________________
Notary Public/Commissioner of Oaths
My Commission Expires______________
(SEAL)
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