Guardianship Authorization - Superior Court Of Santa Clara County Page 3

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CERTIFICATE OF ACKNOWLEDGMENT OF NOTARY PUBLIC
STATE OF CALIFORNIA
)
) ss.
COUNTY OF SANTA CLARA
)
On ____________________________, before me, the undersigned, a Notary Public, in and for said
county and state, duly commissioned and sworn, personally appeared
______________________________________________________, personally known to me or proved to
me on the basis of satisfactory evidence to be the person whose name is subscribed to the within
instrument, and acknowledged to me that s/he executed the same in her/his authorized capacity, and that
by her/his signature on the instrument the person, or the entity upon behalf of which the person acted,
executed the instrument.
WITNESS MY HAND AND OFFICIAL SEAL.
_______________________________
STATE OF CALIFORNIA
)
) ss.
COUNTY OF SANTA CLARA
)
On ____________________________, before me, the undersigned, a Notary Public, in and for said
county and state, duly commissioned and sworn, personally appeared
______________________________________________________, personally known to me or proved to
me on the basis of satisfactory evidence to be the person whose name is subscribed to the within
instrument, and acknowledged to me that s/he executed the same in her/his authorized capacity, and that
by her/his signature on the instrument the person, or the entity upon behalf of which the person acted,
executed the instrument.
WITNESS MY HAND AND OFFICIAL SEAL.
_______________________________
STATE OF CALIFORNIA
)
) ss.
COUNTY OF SANTA CLARA
)
On ____________________________, before me, the undersigned, a Notary Public, in and for said
county and state, duly commissioned and sworn, personally appeared
______________________________________________________, personally known to me or proved to
me on the basis of satisfactory evidence to be the person whose name is subscribed to the within
instrument, and acknowledged to me that s/he executed the same in her/his authorized capacity, and that
by her/his signature on the instrument the person, or the entity upon behalf of which the person acted,
executed the instrument.
WITNESS MY HAND AND OFFICIAL SEAL.
_______________________________
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GUARDIANSHIP AUTHORIZATION

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