State Of Florida Notary Form

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State of FLORIDA
County of ____________
Sworn to (or affirmed) and subscribed
before me this ____ day of __________
20____ by _______________________
who q is personally known to me or q
produced a ____________________ as
identification.
_____________________
(notary signature)
SEAL
____________________________________
(print name of notary)
provided this form pursuant to Florida Statues §117.05(13)(a) FL-2009-JUR

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