Notary Acknowledgment

STATE OF NEW JERSEY 

B‐7‐NA   

 

 

                          

 

 

 

DIVISION OF TAXATION

   5‐12 

 

 

  

 

 

 

 

                               

 

TAXPAYER REGISTRATION 

 

 

 

                                            BEVERAGE TAX BOND UNIT 

 

 

 

 

 

                   

  CN‐252 

                                                                                   TRENTON, NEW JERSEY 08646 

NOTARY ACKNOWLEDGMENT

 

                                                                                  INDIVIDUAL    

 

 

 

 

 

 

          STATE OF:                                   )                                                                               F.I.D. #                                 

 

                                                                   SS: 

          COUNTY of:                                ) 

 

                                                PHONE #                                #                    

 

                                  

On this                                 day of                                    , 20           before me personally appeared: 

              

                                                                                   to me known and known to be the person described in and who 

 

           executed the foregoing instrument and he thereupon duly acknowledged to me that he executed the same. 

 

                                    

 

               

 

__     __  

   

                                               Notary Public   

 

FIRM OR CO‐PARTNERSHIP   

                                                                         

                                                                       

          STATE OF:                                   )                                                                              F.I.D. #                                  

 

                                                                   SS: 

          COUNTY of:                                ) 

 

                                              PHONE #                                         

 

                                  

On this                                 day of                                    , 20           before me personally appeared: 

 

                                                                                  known to me to be a member of the firm of                                                  e   

 

                                                                                    to me known to be the person described in and who executed the  

 

           foregoing instrument in the firm name of                                                                              and he acknowledged  

 

           that he executed the same as the act and deed of said firm of                                                                                                  

 

           for the uses and purposes therein mentioned. 

                              

 

 

 

   

                                               Notary Public   

CORPORATE   

 

         

          STATE OF:                                   )                                                                           FEIN #                                   

 

                                                                   SS: 

          COUNTY of:                                ) 

 

                                             PHONE #                                         

 

                                 

On this                                 day of                                    , 20           before me personally appeared: 

              

                                                                                       to me known, who, being by me duly sworn, did depose and say: 

 

            he/she resides at                                                                                                                                                                            

                                                                   (Street & Number)                                                      (City, Town or Village)  

 

                                                                                   that he/she is the                                                                             of the 

                         (County)                  (State) 

 

 corporation described in and which executed the above instrument:  that he/she knows the seal of 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 order, and he/she acknowledged the said 

instrument to be the free act and deed of said corporation. 

 

 

 

 

 

_________________________________ 

 

 

 

 

                            Notary Public