State Of Florida Notary Form
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1X_____________________________________
Print Name: ____________________________
X_____________________________________
Print Name: ____________________________
State of FLORIDA
County of ____________________
The foregoing instrument was acknowledged before me this _____ day of ___________________20____ by ________________________________
who q is personally known to me or q produced a _________________________ as identification and by _________________________________
who q is personally known to me or q produced a _________________________ as identification.
___________________________
(SEAL)
notary public signature
___________________________
notary public printed name
FL-2025-ACK
provides this form pursuant to Florida Statutes §117.05(13)(a)
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Parent category: Legal