Consultant Agreement Template Page 4
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5Revised June 2009
STATE OF NEW YORK
)
COUNTY OF _________________
) ss:
On this _____ day of _______________ 20 ____, before me personally came
________________________ (Consultant), to me known, and known to me to be the person
described in, and who executed the foregoing agreement, and acknowledge to me that he
executed the foregoing as such for the purposes therein mentioned.
__________________________________
NOTARY PUBLIC
CORPORATE – WITH SEAL
STATE OF NEW YORK
)
COUNTY OF ________________ )ss:
On this _____ day of _______________ 20____, before me personally came
________________________, to me known, who being by me duly sworn, did depose and say
that he/she resides at ______________________________ and that he/she is the
______________________________ of the corporation described in, and which executed the
above instrument, that he/she knows the seal of the said corporation; that the seal affixed to said
instrument is such corporate seal; that it was so affixed by order of the Board of Directors of
said corporation, and that he/she signed his/her name thereto by like order.
_____________________________________________
NOTARY PUBLIC
CORPORATE – WITHOUT SEAL
STATE OF NEW YORK
)
COUNTY OF ________________
)
On this _____ day of _______________ 20 ____, before me personally came
_________________________, to me known, who being by me duly sworn, did depose and say
that he/she resides at _____________________________ and that he/she is the
______________________________ of the corporation described in, and which executed the
foregoing agreement; that he/she signed his/her name thereto by order of the Board of Directors
of said corporation, and that the corporation has no seal.
_____________________________________________
NOTARY PUBLIC
UNINCORPORATED ASSOCIATION
STATE OF NEW YORK
)
COUNTY OF _______________ )ss:
On this _____ day of _______________ 20 ____, before me personally came
_________________________, to me and known to me to be the
______________________________ of the unincorporated association described in and which
executed the foregoing agreement; and who acknowledged to me that he/she executed the
foregoing agreement on behalf of said unincorporated association.
__________________________________
NOTARY PUBLIC
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