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Quitclaim Deed Page 3

STATE OF CALIFORNIA )

) §

COUNTY OF MARIN

)

this

_______

day

_________________________,

20__

before

me,

__________________________________, a Notary Public in and for said County and

State, residing therein, duly commissioned and sworn, personally appeared

______________________________________________________________________

____________ personally known to me (or 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.

WITNESS my hand and official seal.

______

NOTARY PUBLIC in and for said County and State

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