Uniform Surety Bond - South Dakota Department Of Revenue & Regulation - 2008 Page 3

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ACKNOWLEDGEMENT OF PRINCIPAL
(Corporation)
State of ______________________)
) ss
County of_____________________)
On this_______day of____________________, 20_____, before me person-
ally appeared__________________________, who acknowledged himself to be the
_________________________ of______________________________________, a corporation, and that
he, as such________________________being authorized so to do, executed the foregoing instrument for
the purposes therein contained, by signing the name of the corporation by himself as __________________
_________________.
___________________________________
Notary Public
My commission expires the _______day of ____________________, 20_____.
ACKNOWLEDGEMENT OF PRINCIPAL
(Other Entity – L.L.C & L.L.P.)
State of ______________________)
) ss
County of_____________________)
On this_______day of____________________, 20_____, before me person-
ally appeared__________________________, who acknowledged himself to be the
_________________________ of______________________________________, a L.L.C or L.LP. , and
that he, as such_________________________being authorized so to do, executed the foregoing instrument
for the purposes therein contained, by signing the name of the L.L.C. or L.L.P. by himself as____________
______________________.
___________________________________
Notary Public
My commission expires the _______day of ____________________, 20_____.

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