State Of Florida Notary Form

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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 who produced a ______________________ as
identification, regarding the attached instrument described as ________________
________________________________________________________________
and to whose signature(s) this notarization applies.
_______________________________
S
EAL
notary public signature
_____________________________________
notary public printed name
provides this form pursuant to Florida Statutes §695.25(1), §117.05(13)(b)
FL-2001-ACK

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