Release Of Judgement Form - Court Of The State Of New York Page 3
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4ACKNOWLEDGMENT IN NEW YORK STATE
STATE OF NEW YORK, COUNTY OF___________________
ss.:
On _____________________ before me, the undersigned, personally appeared
______________________________________________________________________________
personally known to me or proved to me on the basis of satisfactory evidence to be the individual(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 capacity(ies), and that by his/her/their signature(s) on the instrument,
the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument.
(signature and office of individual taking acknowledgment)
ACKNOWLEDGMENT OUTSIDE NEW YORK STATE
STATE OF __________________ COUNTY OF ________________________ ss.:
On ____________________ before me, the undersigned, personally appeared
______________________________________________________________________________
personally known to me or proved to me on the basis of satisfactory evidence to be the individual(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 capacity(ies), and that by his/her/their signature(s) on the instrument,
the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument,
and that such individual made such appearance before the undersigned in
(insert city or political subdivision and state or county or other place acknowledgment taken).
(signature and office of individual taking acknowledgment)
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