Form Ofr-S-5-91 - Uniform Consent To Service Of Process/corporate Acknowledgement/individual Or Partnership Acknowledgement Page 2
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2CORPORATE ACKNOWLEDGEMENT
STATE OF
)
) ss.
________________________________
COUNTY OF
)
FIRM NAME
On the
day of
,
, before me
, the
undersigned, personally appeared
and
, known
personally to me to be the
(Title) and
(Title),
respectively, of the above named corporation, and that they, as such officers, being
authorized so to do, executed the foregoing instrument for the purposes therein
contained, by signing the name of the corporation by themselves as such officers.
IN WITNESS WHEREOF I have hereunto set my hand and official seal.
(Notarial Seal)
__________________________
Notary Public
My Commission expires: __________________________
INDIVIDUAL OR PARTNERSHIP ACKNOWLEDGEMENT
STATE OF
)
) ss.
COUNTY OF
)
On this
day of
,
, before me,
the undersigned, personally appeared
to me personally known
to me to be the same person(s) whose name(s) is (are) signed to the foregoing
instrument, and acknowledge the execution thereof for the uses and purposes therein
set forth.
IN WITNESS WHEREOF I have hereunto set my hand and official seal.
(Notarial Seal)
__________________________
Notary Public
My Commission expires: __________________________
OFR-S-5-91, Uniform Consent to Service of Process, Effective 11/22/10, Incorporated by Reference in
Rule 69W-301.002, F.A.C.
2
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