Notary Jurat Form - State Of California

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A notary public or other officer completing this
State of California
certificate verifies only the identity of the individual
County of _______________
who signed the document to which this certificate
Subscribed and sworn to (or affirmed) before me on this _____
is attached, and not the truthfulness, accuracy, or
day of ____________, 20__, by________________________,
validity of that document.
proved to me on the basis of satisfactory evidence to be the
person(s) who appeared before me.
State of California
(Seal) Signature_______________________
County of _______________
Subscribed and sworn to (or affirmed) before me on this ______
day of _____________, 20___, by _______________________
___________________________________________________,
proved to me on the basis of satisfactory evidence to be the
person(s) who appeared before me.
(Seal)
Signature_______________________

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