Form Bf-2 - Securities Licensee'S Blanket Bond - New Mexico Securities Commission Page 2

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ACKNOWLEDGMENT OF INDIVIDUAL
STATE OF ______________________)
) ss.
COUNTY OF ____________________)
On this ______ day of ______________, _____, before me personally appeared ____________,
to me known to be the person described in and who executed the foregoing instrument, as principal, and
acknowledged to me that he/she executed the same as his/her free act and deed.
________________________________
Notary Public
(Notarial seal)
My commission expires:
____________________________
ACKNOWLEDGMENT OF PARTNERSHIP
STATE OF ______________________)
) ss.
COUNTY OF ____________________)
On this ______ day of ______________, _____, before me personally appeared ____________,
to me known to be a member of the firm who executed the foregoing instrument and acknowledged to me
that he/she executed the same as and for the act and deed of said firm.
________________________________
Notary Public
(Notarial seal)
My commission expires:
_____________________________
ACKNOWLEDGMENT OF CORPORATION/
LIMITED LIABILITY COMPANY
STATE OF ______________________)
) ss.
COUNTY OF ____________________)
On this ______ day of ______________, _____, before me personally appeared ____________,
and said that he/she is the ____________________ of _________________________________, the
coporation/limited liability company heretofore named as principal in the foregoing instrument; that he/she
executed the instrument for and in its behalf, by authority of its Board of Directors/Members.
________________________________
Notary Public
(Notarial seal)
My commission expires:
_____________________________

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