State of FLORIDA
County of ______________
The foregoing instrument was acknowledged before me this _____ day of
_____________ 20___ by____________________________________________,
name and title
who q is personally known to me or q has produced a _____________________
as identification, regarding the attached instrument described as ______________
_________________________________________________________________
and to whose signature(s) this notarization applies.
(SEAL)
_______________________________
notary public signature
_____________________________________
notary public printed name
FL-2085-ACK
provides this form pursuant to Florida Statutes §695.25(5)