Revocable Living Trust Agreement Template Page 10

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NOTARY AFFIDAVIT
STATE OF __________________________
COUNTY OF __________________________
On _______________ before me, ______________________, a notary public, personally appeared
____________________________________, who 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 he/she executed
the same in his/her authorized capacity, and that by his/her signature on the instrument the person executed
the instrument. I certify under PENALTY OF PERJURY that the foregoing is true and correct.
Witness my hand and official seal.
Signature: _________________________________
Print Name: ________________________________
My commission expires on: ____________________
(Seal)
Page 9

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