California All-Purpose Acknowledgement Form

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CALIFORNIA ALL-PURPOSE ACKNOWLEDGEMENT
STATE OF CALIFORNIA
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}S.S.
COUNTY OF _______________________
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On
, before me,
,
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)
OPTIONAL
Though the information below is not required by law, it may prove valuable to persons relying
on the document and could prevent fraudulent removal and reattachment of this form to another document.
DESCRIPTION OF ATTACHED DOCUMENT
Title or Type of Document:
Document Date:
Number of Pages:
Signer(s) other than named above
CAPACITY(IES) CLAIMED BY SIGNER(S)
INDIVIDUAL
INDIVIDUAL
Right Thumbprint
Right Thumbprint
Of Signer
of Signer
CORPORATE OFFICER(S)
CORPORATE OFFICER(S)
Top of thumb here
Top of thumb here
TITLE(S)
TITLE(S)
PARTNER(S)-
LIMITED
PARTNER(S)-
LIMITED
GENERAL
GENERAL
ATTORNEY-IN-FACT
ATTORNEY-IN-FACT
TRUSTEE(S)
TRUSTEE(S)
GUARDIAN OR CONSERVATOR
GUARDIAN OR CONSERVATOR
OTHER
OTHER
SIGNER IS REPRESENTING:

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