Notary Form Acknowledgement

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Last Updated: November 12, 2012

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Alabama Illinois Montana Alaska Indiana Nebraska South Carolina Arizona Iowa Nevada Arkansas Kansas Tennessee California Louisiana New Mexico Utah Connecticut Vermont Delaware Maryland North Carolina District of Columbia Massachusetts North Dakota Washington Michigan Ohio Georgia Minnesota Oklahoma Hawaii Oregon Wyoming Idaho

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

The State of ______} ______County }

I (name and style of officer) hereby certify that ______whose name is signed to the foregoing conveyance, and who is known to me, acknowledged before me on this day ALA. CODE § 35-4- AL Individual Yes that, being informed of the contents of the conveyance, he executed the same voluntarily 29 (2012) on the day the same bears date.

Given under my hand this _____ day of _____, A. D. 19__. A. B. Judge, etc. (or as the case may be)

The State of ______} ______County }

I, _____, a ______in and for said County in said State, hereby certify that _____ whose name as _____ of the _____, a corporation, is signed to the foregoing conveyance and who is known to me, acknowledged before me on this day that, being informed of the ALA. CODE § 35-4- AL Corporation Yes contents of the conveyance, he, as such officer and with full authority, executed the same 29 (2012) voluntarily for and as the act of said corporation.

Given under my hand this the _____ day of _____, 19______(Style of Officer)

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

The State of ______} ______County }

Official, or I, _____, a _____, in and for said County in said State, hereby certify that _____, whose name as _____ (here state representative capacity) is signed to the foregoing conveyance Representative ALA. CODE § 35-4- AL and who is known to me, acknowledged before me on this day that, being informed of the Yes Capacity 29 (2012) contents of the conveyance, he, in his capacity as such ______, executed the same (Representative) voluntarily on the day the same bears date. Given under my hand this the _____ day of _____, 19__. ______(Style of Officer)

The State of ______} ______County }

I, _____, a _____ in and for said County, in said State, hereby certify that _____ whose For Corporation, in name as _____ of _____, a corporation as _____ of the estate of _____ (or as the case Representative may be) is signed to the foregoing _____, and who is known to me, acknowledged before ALA. CODE § 35-4- Yes AL Capacity me on this day, that being informed of the contents of said _____, he, as such officer, and 29 (2012) (Corporation) with full authority, executed the same voluntarily for and as the act of said corporation, acting in its capacity as _____ as aforesaid. Given under my hand this the _____ day of _____, 19__. ______(Style of Officer)

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

On this ______day of ______, ______, before me, ______, the undersigned officer, personally appeared ______(Serial No. ______) known to me or satisfactorily proven to be (serving in or with the Armed Forces of the United States) (a dependent of ______, Serial No. ______, a person serving in or with the Armed Forces of the United States) and to be the person whose name is subscribed to the within instrument, and acknowledgment Armed Forces or before me on this day that, being informed of the contents of this instrument, he or she ALA. CODE § 35-4- Yes AL their dependents executed the same voluntarily on the day the same bears date. The undersigned does 26(d) (2012) further certify that he or she is at the date of this certificate a commissioned officer of the rank stated below and is in the active service of the Armed Forces of the United States. ______Signature of Officer ______Rank and Serial No. of Officer and Command to which attached.

Valid if in compliance with the manner and form prescribed by the laws of the place of its ALA. CODE § 35-4- AL Outside of State Yes execution. 26(b) (2012)

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

State of ______Judicial District (or County of ______or Municipality of ______)

The foregoing instrument was acknowledged before me this (date) by (name of person who acknowledged). ALASKA STAT. § AK Individual ______09.63.100(a)(1) Yes Signature of Person Taking Acknowledgment (2012) ______Title or Rank ______Serial Number, if any

State of ______Judicial District (or County of ______or Municipality of ______)

The foregoing instrument was acknowledged before me this (date) by (name of officer or agent, title of officer or agent) of (name of corporation acknowledging) a (state or place of ALASKA STAT. § incorporation) corporation, on behalf of the corporation. Corporation 09.63.100 (a)(2) Yes AK ______Signature of Person Taking Acknowledgment (2012) ______Title or Rank ______Serial Number, if any

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

State of ______Judicial District (or County of ______or Municipality of ______)

The foregoing instrument was acknowledged before me this (date) by (name of member or manager), member (or manager) of (name of limited liability company acknowledging) ALASKA STAT. § Limited Liability a (state or place of organization) limited liability company, on behalf of the limited liability company. 09.63.100(a)(3) Yes AK Corporation ______(2012) Signature of Person Taking Acknowledgment ______Title or Rank ______Serial Number, if any

State of ______Judicial District (or County of ______or Municipality of ______)

The foregoing instrument was acknowledged before me this (date) by (name of acknowledging partner or agent), partner (or agent) on behalf of (name of partnership), a ALASKA STAT. § (partnership, limited partnership, or limited liability partnership). Partnership 09.63.100(a)(4) Yes AK ______Signature of Person Taking Acknowledgment (2012) ______Title or Rank ______Serial Number, if any

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

For an individual acting as principal by an attorney in fact: State of ______Judicial District (or County of ______or Municipality of ______) Individual Acting as The foregoing instrument was acknowledged before me this (date) by (name of attorney Principal by an ALASKA STAT. § in fact) as attorney in fact on behalf of (name of principal). Attorney in Fact 09.63.100(a)(5) Yes AK ______(Individual Power Signature of Person Taking Acknowledgment (2012) of Attorney) ______Title or Rank ______Serial Number, if any

State of ______Judicial District (or County of ______or Municipality of ______)

Public Officer, The foregoing instrument was acknowledged before me this (date) by (name and title of ALASKA STAT. § Trustee, or position). ______09.63.100(a)(6) Yes AK Personal Signature of Person Taking Acknowledgment (2012) Representative ______Title or Rank ______Serial Number, if any

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

Valid if performed by: (1) an authorized in the place where the act is performed; (2) a judge, clerk, or deputy clerk of any court in which the act is performed; (3) an officer of the foreign service or consular agent authorized to perform notarial acts ALASKA STAT. § Outside of State Yes AK in the place in which the act is performed; (4) a commissioned officer in active service or 09.63.050 (2012) any other person authorized to perform notarial acts; or (5) any other person authorized to perform notarial acts in the place in which the act is performed.

State of ______County of ______

ARIZ. REV. STAT. The foregoing instrument was acknowledged before me this (Date) by (Name of Person AZ Individual ANN. § 33-506(1) Yes Acknowledged). (Signature of person taking acknowledgment) (2012) (Title or rank) (Serial number, if any)

State of ______County of ______

The foregoing instrument was acknowledged before me this (date) by (name of officer or ARIZ. REV. STAT. AZ Corporation agent, title or officer or agent) of (name of corporation acknowledging) a (state or place ANN. § 33-506(2) Yes of incorporation) corporation, on behalf of the corporation. (2012) (Signature of person taking acknowledgment) (Title or rank) (Serial number, if any)

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

State of ______County of ______

The foregoing instrument was acknowledged before me this (date) by (name of ARIZ. REV. STAT. AZ Partnership acknowledging partner or agent), partner (or agent) on behalf of (name of partnership), a ANN. § 33-506(3) Yes partnership. (2012) (Signature of person taking acknowledgment) (Title or rank) (Serial number, if any)

State of ______Individual Acting as County of ______

Principal by an ARIZ. REV. STAT. The foregoing instrument was acknowledged before me this (date) by (name of attorney- Attorney in Fact ANN. § 33-506(4) Yes AZ in-fact) as attorney-in-fact on behalf of (name of principal). (Individual Power (Signature of person taking acknowledgment) (2012) of Attorney) (Title or rank) (Serial number, if any)

State of ______County of ______Public Officer, ARIZ. REV. STAT. Trustee, or The foregoing instrument was acknowledged before me this (date) by (name and title of ANN. § 33-506(5) Yes AZ Personal position). (2012) Representative (Signature of person taking acknowledgment) (Title or rank) (Serial number, if any)

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

Valid if performed by: (1) an authorized notary public in the place where the act is performed; (2) a judge, clerk, or deputy clerk of any court in which the act is performed; ARIZ. REV. STAT. (3) an officer of the foreign service or consular agent authorized to perform notarial acts Outside of State ANN. § 33-501 Yes AZ in the place in which the act is performed; (4) a commissioned officer in active service or any other person authorized to perform notarial acts; or (5) any other person authorized (2012) to perform notarial acts in the place in which the act is performed.

State of ______County of ______

On this the ______day of ______, 19____ , before me, ______, the undersigned officer, personally appeared ______, known to me (or ARK. CODE ANN. § satisfactorily proven) to be the person whose name ______subscribed to the Individual 16-47-207(1) Yes AR within instrument and acknowledged that ______he ______executed the same for the purposes therein contained. (2012) In witness whereof I hereunto set my hand and official seal. ______Title of Officer

State of ______County of ______

On this the ______day of ______, 19____, before me, ______the undersigned officer, personally appeared ______, who acknowledged himself to be the ______of ______, a corporation, and that he, as such ARK. CODE ANN. § AR Corporation ______, being authorized so to do, executed the foregoing instrument for the 16-47-207(2) Yes purposes therein contained, by signing the name of the corporation by himself as (2012) ______In witness whereof I hereunto set my hand and official seal. ______Title of Officer

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

State of ______County of ______

On this the ______day of ______, 19____, before me, ______, the undersigned officer, personally appeared ______, known to me (or Attorney-in-Fact ARK. CODE ANN. § satisfactorily proven) to be the person whose name is subscribed as attorney-in-fact for (Power of 16-47-207(3) Yes AR ______, and acknowledged that he executed the same as the act of his principal Attorney) for the purposes therein contained. (2012) In witness whereof I hereunto set my hand and official seal. ______Title of Officer

State of ______County of ______

Public Officer or On this the ______day of ______, 19____, before me, ______, Deputy Thereof, or the undersigned officer, personally appeared ______, of the State (County or City ARK. CODE ANN. § Any Trustee, as the case may be) of ______, known to me (or satisfactorily proven) to be the AR 16-47-207(4) Yes Administrator, person described in the foregoing instrument, and acknowledged that he executed the (2012) Guardian, or same in the capacity therein stated and for the purposes therein contained. Executor In witness whereof I hereunto set my hand and official seal. ______Title of Officer

Valid when taken before a clerk of any court, any notary public, the mayor of any ARK. CODE ANN. §§ AR Outside of State incorporate city or town, or the chief officer of any city or town having a seal, or before a 16-47-103, & 18- Yes commissioner appointed by the Governor. 12-203 (2012)

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

State of California ) County of ______)

On ______before me, (here insert name and title of the officer), personally appeared ______, who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the CAL. CIV. CODE § All Yes1 CA person(s), or the entity upon behalf of which the person(s) acted, executed the 1189(a)(1) (2012) instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal.

______(Seal) Signature

On this the ______day of ______, 19___, before me ______, the undersigned officer, personally appeared ______known to me (or satisfactorily proven) to be (a) serving in the armed forces of the United States, (b) a spouse of a person serving in the armed forces of the United States, or (c) a person serving with, employed by, or accompanying the armed forces of the United States outside the United States and Officer on active- outside the Canal Zone, Puerto Rico, Guam, and the Virgin Islands, and to be the person duty or performing whose name is subscribed to the within instrument and acknowledged that he or she CAL. CIV. CODE § Yes CA inactive-duty executed the same. And the undersigned does further certify that he or she is at the date 1183.5 (2012) training of this certificate a commissioned officer of the armed forces of the United States having the general powers of a notary public under the provisions of Section 936 or 1044a of Title 10 of the United States Code (Public Law 90-632 and 101-510). ______Signature of officer, rank, branch of service and capacity in which signed.

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

Valid if before: (1) justice, judge, or clerk of any court of record of the U.S or of any state; (2) a commissioner appointed by the Governor or Secretary of State for that purpose; (3) CAL. CIV. CODE § Out of State Yes CA a notary public; or (4) any other officer of the state authorized by its laws to take such 1182 (2012) proof of acknowledgement.

State of ...... County of ......

COLO. REV. STAT. § The foregoing instrument was acknowledged before me this (date) by (name of person Individual 12-55-208(1)(a) Yes CO acknowledged). (signature of person taking acknowledgment) (West 2012) (title or rank) (serial number, if any)

State of ...... County of ......

The foregoing instrument was acknowledged before me this (date) by (name of officer or COLO. REV. STAT. § CO Corporation agent, title of officer or agent) of (name of corporation acknowledging) a (state or place of 12-55-208(1)(b) Yes incorporation, corporation, on behalf of the corporation. (West 2012) (signature of person taking acknowledgment) (title or rank) (serial number, if any)

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

State of ...... County of ......

The foregoing instrument was acknowledged before me this (date) by (name of COLO. REV. STAT. § CO Partnership acknowledging partner or agent), partner (or agent) on behalf of (name of partnership), a 12-55-208(1)(c) Yes partnership. (West 2012) (signature of person taking acknowledgment) (title or rank) (serial number, if any)

State of ...... Individual Acting as County of ......

Principal by an COLO. REV. STAT. § The foregoing instrument was acknowledged before me this (date) by (name of attorney- CO Attorney in Fact 12-55-208(1)(d) Yes in-fact) as attorney in fact on behalf of (name of principal). (Power of (signature of person taking acknowledgment) (West 2012) Attorney) (title or rank) (serial number, if any)

State of ...... County of ......

Public Officer, COLO. REV. STAT. § The foregoing instrument was acknowledged before me this (date) by (name and title of CO Trustee, Personal 12-55-208(1)(e) Yes position). Representative (signature of person taking acknowledgment) (West 2012) (title or rank) (serial number, if any)

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

Valid if performed by (1) notary public authorized where notarial act is performed; (2) judge, clerk, or deputy clerk of any court of record where notarial act is performed; (3) COLO. REV. STAT. § officer of the foreign service of the U.S., consular agent, or any other authorized to CO Outside the State 12-55-203 (West Yes perform notarial acts; (4) commissioned officer in active service or any other authorized to perform notarial acts; or (5) any other person authorized to perform notarial acts in the 2012) place in which the act is performed.

State of ______County of ______

On this the ______day of ______, 20__ before me, ______, the undersigned officer, personally appeared ______, known to me (or satisfactorily proven) to be the person whose name ______subscribed to the within instrument CONN. GEN. STAT. § CT Individual Yes and acknowledged that ______he ______executed the same for the purposes 1-34(1) (2012) therein contained.

In witness whereof I hereunto set my hand. Title of Officer

State of ______County of ______

On this the ______day of ______, 20__ before me, ______, the undersigned officer, personally appeared ______who acknowledged himself to be the ______of ______, a corporation, and that he, as such ______, being CONN. GEN. STAT. § Corporation Yes CT authorized so to do, executed the foregoing instrument for the purposes therein 1-34(2) (2012) contained, by signing the name of the corporation by himself as ______.

In witness whereof I hereunto set my hand. Title of Officer

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

State of ______County of ______

On this the ______day of ______, 20__, before me, ______, the Attorney-in-fact undersigned officer, personally appeared ______, known to me (or satisfactorily proven) to be the person whose name is subscribed as attorney-in-fact for ______, CONN. GEN. STAT. § CT (Power of Yes and acknowledged that he executed the same as the act of his principal for the purposes 1-34(3) (2012) Attorney) therein contained.

In witness whereof I hereunto set my hand. Title of Officer

State of ______County of ______Public Officer or Deputy Thereof, On this the ______day of ______, 20__, before me, ______, the undersigned officer, personally appeared ______, of the State (County or City as the Trustee, CONN. GEN. STAT. § case may be) of ______, known to me (or satisfactorily proven) to be the person Yes CT Administrator, 1-34(4) (2012) described in the foregoing instrument, and acknowledged that he executed the same in Guardian, or the capacity therein stated and for the purposes therein contained. Executor In witness whereof I hereunto set my hand. Title of Officer.

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

State of ______County of ______

On this the ______day of ______20__, before me, ______the undersigned officer, personally appeared ______who acknowledged himself to be the ______of ______, a (member managed or manager managed) limited Limited Liability CONN. GEN. STAT. § CT liability company, and that he, as such ______, being authorized so to do, executed Yes Corporation 1-34(5) (2012) the foregoing instrument for the purposes therein contained, by signing the name of the limited liability company by himself as ______.

In witness whereof I hereunto set my hand. Title of Officer

State of ______County of ______

On this the ______day of ______, 20__, before me, ______, the undersigned officer, personally appeared ______who acknowledged himself to be Registered Limited the ______of ______, a registered limited liability partnership, and that he, as CONN. GEN. STAT. § Liability such ______, being authorized so to do, executed the foregoing instrument for the Yes CT 1-34(6) (2012) Partnership purposes therein contained, by signing the name of the registered limited liability partnership by himself as ______.

In witness whereof I hereunto set my hand. Title of Officer

Valid if performed by (1) notary public authorized where notarial act is performed; (2) judge, clerk, or deputy clerk of any court of record where notarial act is performed; (3) officer of the foreign service of the U.S., consular agent, or any other authorized to CONN. GEN. STAT. § CT Outside the State Yes perform notarial acts; (4) commissioned officer in active service or any other authorized 1-57 (2012) to perform notarial acts; or (5) any other person authorized to perform notarial acts in the place in which the act is performed.

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

State of ______.County of ______.

This instrument was acknowledged before me on (date) by (name(s) of person(s)). ______DEL. CODE. ANN. DE Individual (signature of notarial officer) Tit. 29, § 4328(1) Yes (Seal) (2012) ______(title and rank) (my commission expires: ______.)

State of ______.County of ______. This instrument was acknowledged before me on (date) by (name(s) of person(s)) as (type of authority, e.g., officer, trustee, etc.) of (name of party on behalf of whom instrument was executed). DEL. CODE. ANN. ______Representative Tit. 29, § 4328(2) Yes DE (signature of notarial officer) (Seal) (2012) ______(title and rank) (my commission expires: ______.)

DEL. CODE. ANN. Valid if before a notary public of any state or territory or of the District of Columbia in the Outside the State Tit. 25, § 129(c) Yes DE U.S. (2012)

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

District of Columbia

This instrument was acknowledged before me on (date) by (name(s) of person(s)). ______D.C. CODE § 42- DC Individual (Signature of notarial officer) Yes 148(1) (2012) (Seal, if any) ______Title (and Rank) (My commission expires: ______)

District of Columbia

This instrument was acknowledged before me on (date) by (name(s) of person(s)) as (type of authority, e.g., officer, trustee, etc.) of (name of party on behalf of whom instrument was executed). D.C. CODE § 42- Representative ______Yes DC 148(2) (2012) (Signature of notarial officer) (Seal, if any) ______Title (and Rank) (My commission expires: ______)

Valid if performed by (1) a notary public of the jurisdiction; (2) a judge, clerk, or deputy D.C. CODE §§ 42- DC Outside the State clerk of a court of the jurisdiction; or (3) any other person authorized by the law of the 144, & 42-146 Yes jurisdiction to perform a notarial act. (2012)

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

STATE OF _____ COUNTY OF _____

The foregoing instrument was acknowledged before me this _____ (date) by ______(name of person acknowledging), who is personally known to me or FLA. STAT. § FL Individual Yes who has produced _____ (type of identification) as identification. 695.25(1) (2012) (Signature of person taking acknowledgment) (Name typed, printed or stamped) (Title or rank) (Serial number, if any)

STATE OF _____ COUNTY OF _____

The foregoing instrument was acknowledged before me this _____ (date) by ______(name of officer or agent, title of officer or agent) of ______(name of corporation acknowledging), a ______(state or place of incorporation) FLA. STAT. § FL Corporation Yes corporation, on behalf of the corporation. He/she is personally known to me or has 695.25(2) (2012) produced _____ (type of identification) as identification. (Signature of person taking acknowledgment) (Name typed, printed or stamped) (Title or rank) (Serial number, if any)

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

STATE OF _____ COUNTY OF _____

The foregoing instrument was acknowledged before me this ____ (date) by ______(name of acknowledging partner or agent), partner ______FLA. STAT. § FL Partnership (or agent) on behalf of ______(name of partnership), a partnership. He/she is Yes 695.25(3) (2012) personally known to me or has produced _____ (type of identification) as identification. (Signature of person taking acknowledgment) (Name typed, printed or stamped) (Title or rank) (Serial number, if any)

STATE OF _____ COUNTY OF _____

Individual acting as The foregoing instrument was acknowledged before me this _____ (date) by Principal by an ______(name of attorney-in-fact) as attorney-in-fact, who is personally known FLA. STAT. § Attorney-In-Fact to me or who has produced _____ (type of identification) as identification on behalf of Yes FL 695.25(4) (2012) (Individual Power ______(name of principal). of Attorney) (Signature of person taking acknowledgment) (Name typed, printed or stamped) (Title or rank) (Serial number, if any)

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

STATE OF _____ COUNTY OF _____

Public Officer, The foregoing instrument was acknowledged before me this _____ (date) by Trustee, or ______(name and title of position), who is personally known to me or who has FLA. STAT. § FL Yes Personal produced _____ (type of identification) as identification. 695.25(5) (2012) Representative (Signature of person taking acknowledgment) (Name typed, printed or stamped) (Title or rank) (Serial number, if any)

Valid if before (1) civil-law notary or commissioner of deeds appointed by the Governor of this state; (2) judge or clerk of any court of the U.S. or any state, territory, or district; or (3) a notary public. FLA. STAT. § Outside of State Yes FL 695.03(2) (2012) [If the notary public does not affix a seal, it is sufficient for the following to be added, “I am a Notary Public of the State of (state), and my commission expires on (date).”]

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

State of Georgia County of ______No statutory This record was acknowledged before me on ______(Date) by ______, guidance (Printed name(s) of individual(s) signing document) who proved to me on the basis of provided. GA General satisfactory evidence to be the person(s) who appeared before me. Georgia Superior Yes ____Personally Known Court Clerk’s or Model ____Produced Identification Acknowledgment Type and # of ID (last 4 digits) ______ID Expiration Date ______

State of Georgia County of ______

This record was acknowledged before me on ______(Date) No statutory by ______, (Printed name(s) of individual(s) signing guidance document) as ______, (type of authority, such as provided. attorney-in-fact, officer, or trustee) of ______,(name of party on behalf GA Representative Georgia Superior Yes of whom record was executed) who proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. Court Clerk’s ____Personally Known Model or Acknowledgment ____Produced Identification Type and # of ID (last 4 digits) ______ID Expiration Date ______

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

Valid if before: (1) consul or vice-consul of the U.S. with his official seal; (2) judge of the jurisdiction with his official seal; (3) clerk of a court of record under the seal of the court; or (4) a notary public or justice of the peace of the jurisdiction with their seal. GA. CODE ANN. § GA Outside the State 44-2-21(a) (West Yes [If the notary public or justice of the peace has no seal, then “his official character shall be 2012) certified by a clerk of any court of record in the jurisdiction of the residence of such notary or justice of the peace.”]

(Begin in all cases by a caption specifying the state or territory and the place where the acknowledgment is taken.)

Natural Persons On this _____ day of ______, 19__, before me personally appeared A.B. (or A.B. and HAW. REV. STAT. § HI acting in their own C.D.), to me known to be the person (or persons) described in and who executed the Yes 502-41(1) (2012) right (Individual) foregoing instrument, and acknowledged that he (or she) (or they) executed the same as his (or her) (or their) free act and deed.

Signature and title of the officer taking the acknowledgment

(Begin in all cases by a caption specifying the state or territory and the place where the acknowledgment is taken.) Natural persons acting by Attorney On this _____ day of ______, 19__, before me personally appeared A.B., to me known to HAW. REV. STAT. § Yes HI (Individual Power be the person who executed the foregoing instrument in behalf of C.D. and acknowledged 502-41(2) (2012) of Attorney) that he (or she) executed the same as the free act and deed of said C.D.

Signature and title of the officer taking the acknowledgment

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

(Begin in all cases by a caption specifying the state or territory and the place where the acknowledgment is taken.)

On this _____ day of ______, 19__, before me appeared A.B., to me personally known, who, being by me duly sworn (or affirmed), did say that he (or she) is the president (or Corporations other officer, partner, or agent of the corporation, or partnership) of (describing the HAW. REV. STAT. § HI Yes /Partnerships corporation or partnership), and that the instrument was signed in behalf of the 502-41(3) (2012) corporation (or partnership) by authority of its board of directors (partners or trustees), and A.B. acknowledged the instrument to be the free act and deed of the corporation (or partnership).

Signature and title of the officer taking the acknowledgment

(Begin in all cases by a caption specifying the state or territory and the place where the Corporation acknowledgment is taken.)

acknowledging by On this _____ day of ______, 19__, before me personally appeared A.B., to me an individual as its personally known, who being by me duly sworn (or affirmed) did say that he (or she) is attorney, where the attorney-in-fact of C.D. (here name the corporation) duly appointed under power of the enabling power attorney dated the _____ day of ______, 19__, recorded in book _____, at page ___/as of attorney has document no. ____; and that the foregoing instrument was executed in the name and HAW. REV. STAT. § HI Yes previously been behalf of said C.D. by A.B. as its attorney-in-fact; and A.B. acknowledged the instrument 502-41(4) (2012) recorded to be the free act and deed of C.D. (Corporate Power of Attorney Signature and title of the officer taking the acknowledgment Previously [In case the enabling power of attorney has not previously been recorded, omit the Recorded) reference to its place of record and insert in lieu thereof the words "which power of attorney is now in full force and effect."]

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

(Begin in all cases by a caption specifying the state or territory and the place where the Corporation acknowledgment is taken.) acknowledging by On this _____ day of ______, 19__, before me personally appeared A.B., to me another personally known, who, being by me duly sworn (or affirmed) did say that he (or she) is corporation as its the president (or other officer or agent of the corporation acting as attorney) of C.D. (here attorney, where name the corporation acting as attorney) and that C.D. is the attorney-in-fact of E.F. (here the enabling power name the corporation in whose behalf the attorney is acting) duly appointed under power of attorney has of attorney dated the _____ day of ______, 19__, recorded in book _____, at page HAW. REV. STAT. § HI previously been ___/as document no. ____; that the foregoing instrument was executed in the name and Yes 502-41(5) (2012) recorded behalf of E.F. by C.D. as its attorney-in-fact; that the instrument was so executed by C.D. (Corporate Power by authority of its board of directors; and A.B. acknowledged the instrument to be the of Attorney by free act and deed of E.F. Another Signature and title of the officer taking the acknowledgment Corporation,

Previously [In case the enabling power of attorney has not previously been recorded, omit the Recorded) reference to its place of record and insert in lieu thereof the words "which power of attorney is now in full force and effect."]

(Begin in all cases by a caption specifying the state or territory and the place where the acknowledgment is taken.)

On this _____ day of ______, 19__, before me personally appeared A.B. (or A.B. and C.D.), to me personally known, who, being by me duly sworn or affirmed, did say that HAW. REV. STAT. § Any Yes HI such person(s) executed the foregoing instrument as the free act and deed of such 502-41(6) (2012) person(s), and if applicable in the capacity shown, having been duly authorized to execute such instrument in such capacity.

Signature and title of the officer taking the acknowledgment

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

Valid if before any officer or dependency authorized by the laws of the jurisdiction HAW. REV. STAT. § HI Outside the State thereof to take proof and acknowledgement of deeds and in the form sufficient to record Yes 502-45 (2012) deeds of real property in such state.

State of Idaho, county of...., ss.

On this.... day of...., in the year...., before me (here insert the name and quality of the IDAHO CODE ANN. officer), personally appeared.... known or identified to me (or proved to me on the oath §§ 51-109(1), & ID Corporation Yes of....) to be the president, or vice-president, or secretary or assistant secretary, of the 55-711 (West corporation that executed the instrument or the person who executed the instrument on 2012) behalf of said corporation, and acknowledged to me that such corporation executed the same.

State of Idaho, county of...., ss.

On this ...... day of ...... , in the year ...., before me (here insert the name and IDAHO CODE ANN. Limited Liability quality of the officer), personally appeared ...... , known or identified to me (or proved §§ 51-109(1), & ID Yes Corporation to me on the oath of ...... ), to be the manager or a member of the limited liability 55-711A (West company that executed the instrument or the person who executed the instrument on 2012) behalf of said limited liability company and acknowledged to me that such limited liability company executed the same.

State of Idaho, county of...., ss.

IDAHO CODE ANN. Attorney in Fact On this.... day of...., in the year...., before me (here insert the name and quality of the §§ 51-109(1), & (Power of officer), personally appeared...., known or identified to me (or proved to me on the oath Yes ID 55-712 (West Attorney) of....) to be the person whose name is subscribed to the within instrument as the attorney in fact of...., and acknowledged to me that he subscribed the name of.... thereto as 2012) principal, and his own name as attorney in fact.

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

Mark: ...... Mark affixed by (printed or typewritten name of person signing by mark) in the presence of undersigned notary.

State of Idaho ) ) ss. IDAHO CODE ANN. Person Signing a County of ..... ) §§ 51-109(1), & Yes ID Mark 55-712A (West On this ..... day of ...... , in the year ....., before me (here insert the name and quality of the officer), personally appeared ...... , known or identified to me (or proved to me 2012) on the oath of ...... ) to be the person whose name is subscribed to the within instrument, and acknowledged to me that he executed the same by affixing his mark thereto.

(official signature and seal)

Signature of person by notary: ...... Witness Signature: ...... Signature affixed by notary in the presence of (names of person and witness).

State of Idaho ) ) ss. IDAHO CODE ANN. Person Physically County of ) §§ 51-109(1), & ID Unable to Sign or Yes 55-712B (West Sign by Mark On this ..... day of ...... , in the year ....., before me (here insert the name and quality of the officer), personally appeared ...... , known or identified to me (or proved to me 2012) on the oath of ...... ) to be the person whose name is subscribed to the within instrument, and acknowledged to me that he executed the same by directing the undersigned notary to affix his signature thereto.

(official signature and seal)

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

State of Idaho, county of...., ss.

On this.... day of...., in the year...., before me (here insert the name and quality of the IDAHO CODE ANN. officer) personally appeared...., known or identified to me (or proved to me on the oath §§ 51-109(1), & Official or Fiduciary Yes ID of....), to be the person whose name is subscribed to the within instrument as (here insert 55-713 (West the official or representative capacity in which the instrument is executed) and 2012) acknowledged to me that he (or they) executed the same as such (here insert again the official or representative capacity in which the instrument is executed)

State of Idaho, county of...., ss.

On this.... day of...., in the year...., before me (here insert the name and quality of the IDAHO CODE ANN. officer), personally appeared...., known or identified to me (or proved to me on the oath §§ 51-109(1), & ID Partnership Yes of....), to be one of the partners in the partnership of (here insert partnership name 55-714 (West signed to instrument), and the partner or one of the partners who subscribed said 2012) partnership name to the foregoing instrument, and acknowledged to me that he executed the same in said partnership name.

State of Idaho, county of...., ss.

On this.... day of...., in the year...., before me (here insert the name and quality of the IDAHO CODE ANN. State or Any officer), personally appeared...., known or identified to me (or proved to me on the oath §§ 51-109(1), & County, or Political of....), to be the (here insert the official capacity of the officer making the Yes ID 55-715 (West Subdivision acknowledgment) of the (here insert the name of state, county, subdivision or corporation executing the instrument) that executed the said instrument, and 2012) acknowledged to me that such (here insert name of state, county, political subdivision, municipal or public corporation executing the instrument) executed the same.

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

State of Idaho, county of...., ss. IDAHO CODE ANN. On this.... day of...., in the year of...., before me (here insert the name and quality of the §§ 51-109(1), & Any other form Yes ID officer), personally appeared...., known or identified to me (or proved to me on the oath 55-710 (West of....), to be the person whose name is subscribed to the within instrument, and 2012) acknowledged to me that he (or they) executed the same.

Valid if before either (1) justice, judge or clerk of any court of record of the U.S. or of any IDAHO CODE ANN. § state or territory; (2) a commissioner appointed by the governor of this state for that Outside the State 55-703 (West Yes ID purpose; (3) a notary public; or (4) any other officer of the jurisdiction where the acknowledgment is made, authorized by its laws to take such proof or acknowledgement. 2012)

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

State of ______County of ______

5 ILL. COMP. STAT. This instrument was acknowledged before me on ______(date) by IL Individual 312/6-105(a) Yes ______(name/s of person/s). (2012) ______(Signature of Notary Public) (Seal)

State of ______County of ______

This instrument was acknowledged before me on ______(date) by 5 ILL. COMP. STAT. ______(name/s of person/s) as ______Representative 312/6-105(b) Yes IL (type of authority, e.g., officer, trustee, etc.) of ______(name of party on behalf of whom instrument was executed). (2012)

______(Signature of Notary Public) (Seal)

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

On (insert date), the undersigned officer, personally appeared before me, known to me (or satisfactorily proven) to be serving in or with the armed forces of the United States (and/or the spouse or former spouse of a person so serving) and to be the person whose name is subscribed to the instrument and acknowledged that ... he ... executed the same as ... free and voluntary act for the purposes therein contained, and the undersigned Armed Forces 765 ILL. COMP. IL further certifies that he is at the date of this certificate a commissioned officer of the rank Yes Member STAT. 5/20 (2012) stated below and is in the active service of the armed forces of the United States. ……………………………………………………………… Signature of Officer ……………………………………………………………… Rank of Officer and Command to which attached.

Valid if (1) act a notary public is authorized to perform in the state of Illinois and performed by either: (a) notary public authorized in the jurisdiction; (b) judge, clerk, or deputy clerk of any court of record of the jurisdiction; (c) officer of the foreign service of 765 ILL. COMP. IL Outside the State Yes the U.S. or a consular agent or any other person authorized; (d) a commissioner officer in STAT. 30/2 (2012) active service or any other person authorized; or (e) any other person authorized in the jurisdiction to perform notarial acts.

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

Before me, E.F. (judge or justice, as the case may be) this _____ day of ______, A.B. IND. CODE § 32-21- IN General Yes acknowledged the execution of the annexed deed, (or mortgage, as the case may be.) 2-7 (2012)

Must be: (1) certified by the clerk of any court of record of the county in which the officer receiving the acknowledgment resides; and (2) attested by the seal of that court. IND. CODE § 32-21- IN Outside the State Yes However, “an acknowledgement before an officer having an official seal that is attested 2-5 (2012) by the officer’s official seal is sufficient without a certificate.”

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

State of ______(County) of ______

This instrument was acknowledged before me on ______(date) by ______(name(s) of person(s)) ______(signature of notarial officer) (Stamp or Seal) ______IOWA CODE § Title (and Rank) 9E.15(1) (2012) (repealed After Jan. 1, 2013: effective Individual Yes IA 1/1/13); § State of ...... 9B.16(1) [County] of ...... (effective 1/1/13) This record was acknowledged before me on...... (Date) by...... Name(s) of individual(s) ...... Signature of notarial officer Stamp [...... ] Title of office [My commission expires:...... ]

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

Before Jan. 1, 2013:

State of ______(County) of ______

This instrument was acknowledged before me on (date) by (name(s) of person(s)) as (type of authority, e.g., officer, trustee, etc.) of (name of party on behalf of whom instrument was executed). ______(signature of notarial officer) (Stamp or Seal) IOWA CODE § ______9E.15(2) (2012) Title (and Rank) (repealed effective IA Representative After Jan. 1, 2013: Yes 1/1/13); § State of ...... 9B.16(2) [County] of ...... (effective 1/1/13) This record was acknowledged before me on...... (Date) by...... (Name(s) of individual(s)) as (type of authority, such as officer or trustee) of (name of party on behalf of whom record was executed)...... Signature of notarial officer Stamp [...... ] Title of office [My commission expires:...... ]

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

State of ...... [County] of ......

IOWA CODE § Witnessing or Signed [or attested] before me on...... (Date) by...... Name(s) of individual(s) ...... 9B.16(4) IA Attesting a Yes Signature of notarial officer (effective Signature Stamp 1/1/13) [...... ] Title of office [My commission expires...... ]

Before Jan. 1, 2013: Valid if performed by: (1) notary public of that jurisdiction; (2) judge, clerk, or deputy clerk IOWA CODE § of that jurisdiction; or (3) any other person authorized by the law of that jurisdiction to 9E.11(1) (2012) perform notarial acts. (repealed effective IA Outside the State After Jan. 1, 2013: Yes 1/1/13); §§ 9B.6, Valid if performed by: (1) notary public of that state; (2) judge, clerk, or deputy clerk of a court of that state; (3) any other individual authorized by law of that state to perform & 9B.11 notarial act. (effective If the notarial act relates to a statement made in or a signature executed on a record, 1/1/13) such individual must appear personally before the notarial officer.

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

State of ______) (County) of ______)

This instrument was acknowledged before me on ______(date) by ______(name(s) of person(s). KAN. STAT. ANN. § KS Individual ______Yes 53-509(a) (2012) (Signature of notarial officer) (Seal, if any) ______Title (and Rank) [My appointment expires:______]

State of ______) (County) of ______)

This instrument was acknowledged before me on ______(date) by ______(name(s) of person(s) as (type of authority, e.g., officer, trustee, etc.) of (name of party on behalf of whom instrument was executed.) KAN. STAT. ANN. § Representative Yes KS ______53-509(b) (2012) (Signature of notarial officer) (Seal, if any) ______Title (and Rank) [My appointment expires:______]

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

State of ______) (County) of ______)

This instrument was signed before me on ______(date) by ______Power of Attorney (name(s) of person(s) as (power of attorney) of (name of party on behalf of whom in Representative instrument was executed.) KAN. STAT. ANN. § KS Yes Capacity (Power of ______53-509(f) (2012) Attorney) (Signature of notarial officer) (Seal, if any) ______Title (and Rank) [My appointment expires:______]

Valid if performed by within the jurisdiction and under the authority of: (1) a notary public KAN. STAT. ANN. § Outside the State or notary; (2)a judge, clerk, or deputy clerk of a court of record; or (3) any other person Yes KS 53-507(a) (2012) authorized by the law of that jurisdiction to perform notarial acts.

Property of DocuTech Corporation Page 39

State Capacity Language of Notary Section Legal Citation(s) Modifiable

State of ______County of ______

KY. REV. STAT. § The foregoing instrument was acknowledged before me this (date) by (name of person KY Individual 423.160(1) Yes acknowledged). (Signature of person taking acknowledgment) (2012) (Title or rank) (Serial number, if any)

State of ______County of ______

The foregoing instrument was acknowledged before me this (date) by (name of officer or KY. REV. STAT. § KY Corporation agent, title of officer or agent) of (name of corporation acknowledging) a (state or place of 423.160(2) Yes incorporation) corporation, on behalf of the corporation. (2012) (Signature of person taking acknowledgment) (Title or rank) (Serial number, if any)

State of ______County of ______

The foregoing instrument was acknowledged before me this (date) by (name of KY. REV. STAT. § KY Partnership acknowledging partner or agent), partner (or agent) on behalf of (name of partnership), a 423.160(3) Yes partnership. (2012) (Signature of person taking acknowledgment) (Title or rank) (Serial number, if any)

Property of DocuTech Corporation Page 40

State Capacity Language of Notary Section Legal Citation(s) Modifiable

State of ______Individual Acting as County of ______

Principal by an KY. REV. STAT. § The foregoing instrument was acknowledged before me this (date) by (name of attorney- Attorney-in-Fact 423.160(4) Yes KY in- fact) as attorney-in-fact on behalf of (name of principal). (Individual Power (Signature of person taking acknowledgment) (2012) of Attorney) (Title or rank) (Serial number, if any)

State of ______County of ______Public Officer, KY. REV. STAT. § Trustee, or The foregoing instrument was acknowledged before me this (date) by (name and title of KY 423.160(5) Yes Personal position). (2012) Representative (Signature of person taking acknowledgment) (Title or rank) (Serial number, if any)

Must be an act a notary is authorized to perform within Kentucky and be performed by: (1) a notary public authorized to perform notarial acts in the place in which the act is performed; (2) a judge, clerk, or deputy clerk of any court of record in the place in which the notarial act is performed; (3) an officer of the foreign service or a consular agent or KY. REV. STAT. § Outside of State other person authorized by regulation; (4) a commissioned officer in active service or any Yes KY 423.110 (2012) other person authorized; (5) any other person authorized to perform notarial acts in the place in which the act is performed; or (6) a person appointed by the Governor of Kentucky to perform notarial acts in or outside this state covering writings prepared for recordation in this state.

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

(Begin in all cases by a caption specifying the state and place where the acknowledgment is taken) Natural Persons LA. REV. STAT. ANN. Acting in Their On this ______day of ______, 19__, ______before me personally appeared A B LA (or A B and C D), to me known to be the person (or persons) described in and who § 35:511(1) Yes Own Right executed the foregoing instrument, and acknowledged that he (or they) executed it as his (2012) (Individual) (or their) free act and deed.

(In all cases add signature and title of the officer taking the acknowledgment)

(Begin in all cases by a caption specifying the state and place where the acknowledgment is taken) Natural Persons LA. REV. STAT. ANN. Acting by Attorney On this ______day of ______, 19__, before me personally appeared A B, to me known § 35:511(2) Yes LA (Individual Power to be the person who executed the foregoing instrument in behalf of C D, and (2012) of Attorney) acknowledged that he executed it as the free act and deed of said C D.

(In all cases add signature and title of the officer taking the acknowledgment)

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

(Begin in all cases by a caption specifying the state and place where the acknowledgment is taken)

On this ______day of ______, 19__, before me appeared A B, to me personally known, who, being by me duly sworn (or affirmed) did say that he is the president (or other officer or agent of the corporation or association), of (describing the corporation or association), and that the seal affixed to said instrument is the corporate seal of said Corporations or corporation (or association) and that the instrument was signed and sealed in behalf of LA. REV. STAT. ANN. LA Joint-Stock the corporation (or association) by authority of its Board of Directors (or trustees) and § 35:511(3) Yes Associations that A B acknowledged the instrument to be the free act and deed of the corporation (or (2012) association). (In case the corporation or association has no corporate seal, omit the words "the seal affixed to said instrument is the corporate seal of the corporation (or association), and that" and add, at the end of the affidavit clause, the words "and that the corporation (or association) has no corporate seal")

(In all cases add signature and title of the officer taking the acknowledgment)

Valid if made before any officer of such state authorized by the laws thereof to take the LA. REV. STAT. ANN. LA Outside of State prof and acknowledgement of deeds. When certified under his official seal, it shall be Yes § 35:513 (2012) entitled to be recorded in Louisiana.

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

State of County of

ME. REV. STAT. tit. The foregoing instrument was acknowledged before me this (date) by (name of person ME Individual 4, § 1016(1) Yes acknowledged). (Signature of person taking acknowledgment) (2012) (Title or rank) (Serial number, if any)

State of County of

The foregoing instrument was acknowledged before me this (date) by (name of officer or ME. REV. STAT. tit. agent, title of officer or agent) of (name of corporation acknowledging) a (state or place of Corporation 4, § 1016(2) Yes ME incorporation) corporation, on behalf of the corporation. (2012) (Signature of person taking acknowledgment) (Title or rank) (Serial number, if any)

State of County of

The foregoing instrument was acknowledged before me this (date) by (name of ME. REV. STAT. tit. ME Partnership acknowledging partner or agent), partner (or agent) on behalf of (name of partnership), a 4, § 1016(3) Yes partnership. (2012) (Signature of person taking acknowledgment) (Title or rank) (Serial number, if any)

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

State of County of

ME. REV. STAT. tit. The foregoing instrument was acknowledged before me this (date) by (name of attorney- Principal 4, § 1016(4) Yes ME in-fact) as attorney-in-fact on behalf of (name of principal). (Signature of person taking acknowledgment) (2012) (Title or rank) (Serial number, if any)

State of County of

ME. REV. STAT. tit. The foregoing instrument was acknowledged before me this (date) by (name and title of Public Officer 4, § 1016(5) Yes ME position). (Signature of person taking acknowledgment) (2012) (Title or rank) (Serial number, if any)

Valid when performed by: (1) notary public authorized to perform notarial acts in the place in which the act is performed; (2) judge, clerk, or deputy clerk of record in the place ME. REV. STAT. tit. ME Outside the State in which the notarial act is performed; (3) An officer of the foreign service or consular Yes 4, § 1011 (2012) agent; (4) commissioned officer or any other authorized person; or (5) any other person authorized to perform notarial acts in the place in which the act is performed.

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

State of Maryland, ...... County, to wit: I hereby certify, that on this ...... , in the year ...., before the subscriber, (here insert style of the officer taking the acknowledgment), MD. CODE ANN., personally appeared (here insert the name of the person making the acknowledgment), MD Taken within State REAL PROP. § 4- Yes and acknowledged the foregoing deed to be his act. In testimony whereof I have caused the seal of the court to be affixed, (or have affixed my 204(a) (2012) official seal), this ...... day of ...... , A.D......

State of...... County, to wit: I hereby certify, that on this ...... day of ...... , in the year ...., before the subscriber, (here insert the official style of the person taking the MD. CODE ANN., Of Husband and acknowledgment), personally appeared (here insert the name of the husband), and (here insert name of the married woman making the acknowledgment), his wife, and did each REAL PROP. § 4- Yes MD Wife acknowledge the foregoing deed to be their respective act. 204(b) (2012) In testimony whereof I have caused the seal of the court to be affixed, (or have affixed my official seal), this ...... day of ...... , A.D......

State of...... County, to wit: I hereby certify, that on this ...... day of ...... , in the year ...., before the subscriber, (here insert the official style of the officer taking the MD. CODE ANN., Taken Outside acknowledgment), personally appeared (here insert the name of the person making the acknowledgment), and acknowledged the foregoing deed to be his act. REAL PROP. § 4- Yes MD State Seal of the court 204(c) (2012) In testimony whereof I have caused the seal of the court to be affixed, (or have affixed my official seal), this ...... day of ...... , A.D......

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

(Caption specifying the state and place where the acknowledgment is taken.) MASS. GEN. LAWS ch. 183, §§ 31 & Individual (single On this ______day of ______19__, before me personally appeared A B (or A B and C MA D), to me known to be the person (or persons) described in and who executed the ch. 183 APP., Yes or married) foregoing instrument, and acknowledged that he (or they) executed the same as his (or Form(13)(2012) their) free act and deed. (West 2012) (Signature and title of officer taking acknowledgment. Seal, if required.)

(Caption specifying the state and place where the acknowledgment is taken.) Individual Acting MASS. GEN. LAWS by Attorney On this ______day of ______19__, before me personally appeared A B, to me ch. 183 APP., Yes MA (Individual Power known to be the person who executed the foregoing instrument in behalf of C D, and Form(14)(2012) of Attorney) acknowledged that he executed the same as the free act and deed of said C D. (West 2012) (Signature and title of officer taking acknowledgment. Seal, if required.)

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

(Caption specifying the state and place where the acknowledgment is taken.)

On this ______day of ______19__, before me appeared A B, to me personally known, who, being by me duly sworn (or affirmed), did say that he is the president (or other officer or agent of the corporation or association) of (describing the corporation or association) and that the seal affixed to said instrument is the corporate seal of said MASS. GEN. LAWS Corporation or corporation (or association), and that said instrument was signed and sealed in behalf of said corporation (or association) by authority of its board of directors (or trustees), and ch. 183 APP., Joint Stock Yes MA said A B acknowledged said instrument to be the free act and deed of said corporation (or Form(15)(2012) Association association). (West 2012) (Signature and title of officer taking acknowledgment. Seal, if required.)

[If the corporation or association has no corporate seal, the words “the seal affixed to said instrument is the corporate seal of said corporation (or association), and that” shall be omitted, and at the end of the affidavit shall be added the words “and that said corporation (or association) has no corporate seal”.]

Valid if performed before a justice of the peace, notary public, magistrate, or MASS. GEN. LAWS MA Outside the State commissioner appointed therefor by the governor of Massachusetts, or before any other ch. 183, § 30(b) Yes officer authorized to take acknowledgments of deeds. (West 2012)

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

State of ______County of ______

The foregoing instrument was acknowledged before me this (date) by (name of person MICH. COMP. LAWS MI Individual acknowledged). § 565.267(2) Yes (West 2012) (Signature of person taking acknowledgment) (Title or rank) (Serial number, if any)

State of ______County of ______

The foregoing instrument was acknowledged before me this (date) by (name of officer or MICH. COMP. LAWS agent, title or officer or agent) of (name of corporation acknowledging) a (state or place Corporation § 565.267(3) Yes MI of incorporation) corporation, on behalf of the corporation. (West 2012) (Signature of person taking acknowledgment) (Title or rank) (Serial number, if any)

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

State of ______County of ______

The foregoing instrument was acknowledged before me this (date) by (name of MICH. COMP. LAWS acknowledging partner or agent), partner (or agent) on behalf of (name of partnership), a Partnership § 565.267(4) Yes MI partnership. (West 2012) (Signature of person taking acknowledgment) (Title or rank) (Serial number, if any)

State of ______County of ______Individual Acting as Principal by an The foregoing instrument was acknowledged before me this (date) by (name of attorney MICH. COMP. LAWS MI Attorney in Fact in fact) as attorney in fact on behalf of (name of principal). § 565.267(5) Yes (Individual Power (West 2012) of Attorney) (Signature of person taking acknowledgment) (Title or rank) (Serial number, if any)

State of ______County of ______Public Officer, MICH. COMP. LAWS Trustee, or The foregoing instrument was acknowledged before me this (date) by (name and title of position). § 565.267(6) Yes MI Personal (West 2012) Representative (Signature of person taking acknowledgment) (Title or rank) (Serial number, if any)

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

MICH. COMP. LAWS Valid if the certificate is in a form prescribed by the laws applicable in the place in which Outside the State § 565.265(b) Yes MI the acknowledgement is taken. (West 2012)

State of …………………………………………………….. County of ……………………………………………………..

This instrument was acknowledged before me on...... (date) by ...... (name(s) of person(s)). MINN. STAT. § MN Individual ……………………………………………….. 358.48(1) (West Yes (Signature of notarial officer) 2012) (Stamp) ………………………………………………. Title (and Rank) My commission expires: ......

State of …………………………………………………….. County of ……………………………………………………..

This instrument was acknowledged before me on ...... (date) by ...... (name(s) of person(s)) as ...... (type of authority, e.g., officer, trustee, etc.) of ...... (name of party on behalf of whom the instrument was MINN. STAT. § Representative executed). 358.48(2) (West Yes MN Capacity ……………………………………………….. 2012) (Signature of notarial officer) (Stamp) ………………………………………………. Title (and Rank) My commission expires: ......

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

Valid if performed by: (1) a notary public of that jurisdiction; (2) a judge, clerk, or deputy MINN. STAT. § MN Outside the State clerk of a court of that jurisdiction; or (3) any other person authorized by the law of that 358.44 (West Yes jurisdiction to perform notarial acts. 2012)

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

STATE OF ______COUNTY OF ______

Personally appeared before me, the undersigned authority in and for the said county and state, on this ______day of ______, 20______, within my jurisdiction, the Natural Persons MISS. CODE ANN. § within named ______, who acknowledged that (he) (she) (they) executed the above MS Acting in their Own 89-3-7(a) (West Yes and foregoing instrument. Right (Individual) 2012) (NOTARY PUBLIC) My commission expires: ______(Affix official seal, if applicable)

STATE OF ______COUNTY OF ______

Personally appeared before me, the undersigned authority in and for the said county and state, on this ______day of ______, 20______, within my jurisdiction, the within named ______, who acknowledged that (he) (she) is ______of MISS. CODE ANN. § ______, a ______corporation, and that for and on behalf of the said Corporations 89-3-7(b) (West Yes MS corporation, and as its act and deed (he) (she) executed the above and foregoing instrument, after first having been duly authorized by said corporation so to do. 2012)

(NOTARY PUBLIC) My commission expires: ______(Affix official seal, if applicable)

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STATE OF ______COUNTY OF ______

Personally appeared before me, the undersigned authority in and for the said county and state, on this______day of______, 20______, within my jurisdiction, the within named ______, who acknowledged to me that (he) (she) is______Corporate General of______, a ______corporation and general partner of______, MISS. CODE ANN. § Partner of a a______limited partnership, and that for and on behalf of said corporation as MS general partner of said limited partnership, and as the act and deed of said corporation as 89-3-7(c) (West Yes Limited general partner of said limited partnership, and as the act and deed of said limited 2012) Partnership partnership, (he) (she) executed the above and foregoing instrument, after first having been duly authorized by said corporation and said limited partnership so to do.

(NOTARY PUBLIC) My commission expires: ______(Affix official seal, if applicable)

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STATE OF ______COUNTY OF ______

Personally appeared before me, the undersigned authority in and for the said county and state, on this______day of ______, 20______, within my jurisdiction, the within named ______, who acknowledged to me that (he) (she) is ______of Corporate Member ______, a ______corporation and member of ______, a ______member-managed limited liability company, and that for and on behalf of said of a Member- MISS. CODE ANN. § corporation as member of said limited liability company, and as the act and deed of said Managed Limited 89-3-7(d) (West Yes MS corporation as member of said limited liability company, and as the act and deed of said Liability limited liability company, (he) (she) executed the above and foregoing instrument, after 2012) Corporation first having been duly authorized by said corporation and said limited liability company so to do.

(NOTARY PUBLIC) My commission expires: ______(Affix official seal, if applicable)

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STATE OF ______COUNTY OF ______

Personally appeared before me, the undersigned authority in and for the said county and state, on this______day of______, 20______, within my jurisdiction, the within named______, who acknowledged to me that (he) (she) is______Corporate of______, a ______corporation and manager of______, a______manager-managed limited liability company, and that for and on behalf of said Manager of a MISS. CODE ANN. § corporation as manager of said limited liability company, and as the act and deed of said Manager-Managed 89-3-7(e) (West Yes MS corporation as manager of said limited liability company, and as the act and deed of said Limited Liability limited liability company, (he) (she) executed the above and foregoing instrument, after 2012) Corporation first having been duly authorized by said corporation and said limited liability company so to do.

(NOTARY PUBLIC) My commission expires: ______(Affix official seal, if applicable)

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STATE OF ______COUNTY OF ______

Personally appeared before me, the undersigned authority in and for the said county and state, on this ______day of ______, 20______, within my jurisdiction, the Persons acting in within named ______, who acknowledged that (he) (she) is ______of MISS. CODE ANN. § MS Representative ______, and that in said representative capacity (he) (she) executed the above and 89-3-7(f) (West Yes Capacities foregoing instrument, after first having been duly authorized so to do. 2012)

(NOTARY PUBLIC) My commission expires: ______(Affix official seal, if applicable)

STATE OF ______COUNTY OF ______

Personally appeared before me, the undersigned authority in and for the said county and state, on this ______day of ______, 20______, within my jurisdiction, CD, one of the subscribing witnesses to the above and foregoing instrument, who, being first Proof of execution duly sworn, states that (he) (she) saw the within (or above) named AB, whose name is MISS. CODE ANN. § of the instrument subscribed thereto, sign and deliver the same to EF (or that (he) (she) heard AB acknowledge that (he) (she) signed and delivered the same to EF); and that the affiant 89-3-7(g) (West Yes MS made by a subscribed (his) (her) name as witness thereto in the presence of AB. 2012) subscribing witness ______(CD)

(NOTARY PUBLIC) My commission expires: ______(Affix official seal, if applicable)

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STATE OF ______COUNTY OF ______

Personally appeared before me, the undersigned authority in and for the said county and state, on this ______day of ______, 20______, within my jurisdiction, the within named ______, who proved to me on the basis of satisfactory evidence to be Business the person(s) whose name(s) is/are subscribed in the above and foregoing instrument and MISS. CODE ANN. § Organization, acknowledged that he/she/they executed the same in his/her/their representative 89-3-7(h) (West Yes MS Foreign or capacity(ies), and that by his/her/their signature(s) on the instrument, and as the act and 2012) Domestic deed of the person(s) or entity(ies) upon behalf of which he/she/they acted, executed the above and foregoing instrument, after first having been duly authorized so to do.

(NOTARY PUBLIC) My commission expires: ______(Affix official seal, if applicable)

MISS. CODE ANN. § Valid if performed by, among others, any notary public or a clerk of a court of record Outside the State 89-3-9 (West Yes MS having a seal of office in said location over which the U.S. has sovereign power. 2012)

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(Begin in all cases by a caption, specifying the state and place where the acknowledgment is taken)

Natural Persons MO. REV. STAT. §§ Acting in Their On this ... day of ..., 20.., before me personally appeared A B (or A B and C D), to me 442.210.1 (1), & MO known to be the person (or persons) described in and who executed the foregoing Yes Own Right 442.210.3 (West instrument, and acknowledged that he (or they) executed the same as his (or their) free (Individual) act and deed. 2012)

(In all cases add signature and title of the officer taking the acknowledgment.)

(Begin in all cases by a caption, specifying the state and place where the acknowledgment is taken) Natural Persons MO. REV. STAT. §§ Acting by Attorney On this ... day of ..., 20.., before me personally appeared A B, to me known to be the 442.210.1 (2), & Yes MO (Individual Power person who executed the foregoing instrument in behalf of C D, and acknowledged that 442.210.3 (West of Attorney) he executed the same as the free act and deed of C D. 2012)

(In all cases add signature and title of the officer taking the acknowledgment.)

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(Begin in all cases by a caption, specifying the state and place where the acknowledgment is taken)

On this ... day of ..., 20.., before me appeared A B, to me personally known, who, being by me duly sworn (or affirmed) did say that he is the president (or other officer or agent of the corporation or association), of (describing the corporation or association), and that the seal affixed to foregoing instrument is the corporate seal of said corporation (or MO. REV. STAT. §§ Corporations or association), and that said instrument was signed and sealed in behalf of said corporation 442.210.1 (3), (or association) by authority of its board of directors (or trustees), and said A B Joint Stock 442.210.2, & Yes MO acknowledged said instrument to be the free act and deed of said corporation (or Associations association). 442.210.3 (West 2012) (In all cases add signature and title of the officer taking the acknowledgment.)

[In case the corporation or association has no corporate seal, omit the words “the seal affixed to said instrument is the corporate seal of said corporation (or association), and that”, and add at the end of the affidavit clause the words “and that said corporation (or association) has no corporate seal”.]

MO. REV. STAT. §§ Describe as “his wife” when the “married woman unites with her husband in the 442.210.1 (1) & Married Woman Yes MO execution of any such instrument.” However, “in all other respects her acknowledgment 442.210.4 (West shall be taken and certified as if she were sole.” 2012)

Valid if taken by any notary public or by any court of the U.S. or of any state or territory, MO. REV. STAT. § MO Outside the State having a seal, or the clerk of any such court or any commissioner appointed by the 442.150 (West Yes governor of this state to take the acknowledgement of deeds. 2012)

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State of______(County) of______

This instrument was acknowledged before me on (date) by (name(s) of person(s))

______MONT. CODE ANN. (Signature of notarial officer) MT Individual § 1-5-610(1) Yes (Seal, if any) ______(West 2012) (Name--typed, stamped, or printed) ______Title (and Rank) ______(Residing at) [My commission expires:______]

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State of______(County) of______

This instrument was acknowledged before me on (date) by (name(s) of person(s)) as (type of authority, e.g., officer, trustee, etc.) of (name of party on behalf of whom instrument was executed). ______MONT. CODE ANN. Representative (Signature of notarial officer) § 1-5-610(2) Yes MT Capacity (Seal, if any) ______(West 2012) (Name--typed, stamped, or printed) ______Title (and Rank) ______(Residing at) [My commission expires:______]

Valid if performed by: (1) a notary public of that jurisdiction; (2) a judge, clerk, or deputy MONT. CODE ANN. MT Outside the State clerk of a court of that jurisdiction; or (3) any other person authorized by the law of that § 1-5-606 (West Yes jurisdiction to perform notarial acts. 2012)

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State of .... County of ....

Individual Acting in The foregoing instrument was acknowledged before me this (date) by (name of person NEB. REV. STAT. § NE His or Her Own acknowledged). 64-206(1) (West Yes Right (Individual) 2012) (Signature of Person Taking Acknowledgment) (Title or Rank) (Serial Number, if any)

State of .... County of ....

The foregoing instrument was acknowledged before me this (date) by (name of officer or NEB. REV. STAT. § agent, title of officer or agent) of (name of corporation acknowledging) a (state or place of Corporation 64-206(2) (West Yes NE incorporation) corporation, on behalf of the corporation. 2012) (Signature of Person Taking Acknowledgment) (Title or Rank) (Serial Number, if any)

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State of .... County of ....

The foregoing instrument was acknowledged before me this (date) by (name of NEB. REV. STAT. § acknowledging partner or agent), partner (or agent) on behalf of (name of partnership), a Partnership 64-206(3) (West Yes NE partnership. 2012) (Signature of Person Taking Acknowledgment) (Title or Rank) (Serial Number, if any)

State of .... County of ....

The foregoing instrument was acknowledged before me this (date) by (name of NEB. REV. STAT. § Limited Liability acknowledging member or agent), member (or agent) on behalf of (name of limited NE 64-206(4) (West Yes Corporation liability company), a limited liability company. 2012) (Signature of Person Taking Acknowledgment) (Title or Rank) (Serial Number, if any)

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

State of .... County of .... Individual Acting as Principal by an The foregoing instrument was acknowledged before me this (date) by (name of attorney NEB. REV. STAT. § NE Attorney in Fact in fact) as attorney in fact on behalf of (name of principal). 64-206(5) (West Yes (Individual Power 2012) of Attorney) (Signature of Person Taking Acknowledgment) (Title or Rank) (Serial Number, if any)

State of .... County of .... Public Officer, NEB. REV. STAT. § Trustee, or The foregoing instrument was acknowledged before me this (date) by (name and title of position). 64-206(6) (West Yes NE Personal 2012) Representative (Signature of Person Taking Acknowledgment) (Title or Rank) (Serial Number, if any)

Valid if performed by: (1) notary public authorized to perform notarial acts in the place in which the act is performed; (2) a judge, clerk, or deputy clerk of any court of record in the NEB. REV. STAT. § place in which the notarial act is performed; (3) an officer of the foreign service or Outside the State 64-201 (West Yes NE consular agent or any other person authorized; (4) a commissioned officer or any other person authorized; or (5) any other person authorized to perform notarial acts in the 2012) place in which the act is performed.

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State of Nevada County of......

NEV. REV. STAT. §§ This instrument was acknowledged before me on (date) by (name(s) of person(s)). 240.1655(3) & NV Individual …………………………………………………………….. Yes 240.166 (West (Signature of notarial officer) (Seal, if any) 2011) …………………………………………………………….. (Title and rank (optional))

State of Nevada County of ......

This instrument was acknowledged before me on (date) by (name(s) of person(s)) as (type of authority, e.g., officer, trustee, etc.) of (name of party on behalf of whom NEV. REV. STAT. §§ Representative instrument was executed). 240.1655(3) & NV Yes Capacity …………………………………………………………….. 240.1665 (West (Signature of notarial officer) 2011) (Seal, if any) ……………………………………………………………..

(Title and rank (optional))

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State of Nevada County of ......

This instrument was acknowledged before me on (date) by (name of person holding power of attorney) as attorney-in-fact for (name of principal/person whose name is in the NEV. REV. STAT. §§ document). 240.1655(3) & NV Power of Attorney Yes 240.1667 (West …………………………………………………………….. 2011)§ (Signature of notarial officer) (Seal, if any) …………………………………………………………….. (Title and rank (optional))

State of Nevada County of ......

On (date) (subscribing witness) personally appeared before me, whom I know to be the person who signed this jurat of a subscribing witness while under oath, and swears that he or she was present and witnessed (signer of the document) sign his or her name to the NEV. REV. STAT. §§ Jurat of above document. 240.1655(3) & NV Subscribing …………………………………………………………….. Yes 240.1685 (West Witness (Signature of subscribing witness) Signed and sworn before me on ...... (date)...... by...... (subscribing witness)...... 2011) …………………………………………………………….. (Signature of notarial officer) (Seal, if any) …………………………………………………………….. (Title and rank (optional))

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Valid if performed by: (1) a notary public of that jurisdiction; (2) a judge, clerk, or deputy NEV. REV. STAT. § NV Outside of State clerk of a court of that jurisdiction; or (3) any other person authorized by the law of that 240.164 (West Yes jurisdiction to perform notarial acts. 2011)

State of ______(County) of ______

This instrument was acknowledged before me on (date) by (name(s) of person(s)) N.H. REV. STAT. ______ANN. §§ 456-B:7 NH Individual Yes (Signature of notarial officer) & 456-B:8(I) (Seal, if any) (West 2012) ______Title (and Rank) [My commission expires: _____]

State of ______(County) of ______

This instrument was acknowledged before me on (date) by (name(s) of person(s)) as (type of authority, e.g., officer, trustee, etc.) of (name of party on behalf of whom instrument N.H. REV. STAT. Representative was executed). ANN. §§ 456-B:7 NH Yes Capacity ______& 456-B:8(II) (Signature of notarial officer) (West 2012) (Seal, if any) ______Title (and Rank) [My commission expires: _____]

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

Valid if performed by: (1) a notary public of that jurisdiction; (2) a judge, clerk, or deputy N.H. REV. STAT. NH Outside of State clerk of that jurisdiction; or (3) any other person authorized by the law of that jurisdiction ANN. § 456-B:4 Yes to perform notarial acts. (West 2012)

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

State of New Jersey ) ) County of ______) N.J. STAT. ANN. §46:14-2.1 (West On ____, 20__ before me,(notary’s name), Notary Public in and for said county, personally 2012) appeared (signer/witness) who has/have satisfactorily identified him/her/themselves as New Jersey NJ General Yes the signer(s)/witnesses to the above-referenced document. Department of the Treasury ______Model Notary’s Name Acknowledgment Seal My commission expires: ______

Valid if performed by any officer of the U.S., of a state, territory or district of the U.S. N.J. STAT. ANN. NJ Outside the State authorized at the time and place of the acknowledgment or proof by the laws of that §46:14-6.1 (West Yes jurisdiction to take acknowledgements or proofs. 2012)

State of ______(County) of ______

N.M. STAT. ANN. This instrument was acknowledged before me on (date) by (name(s) of person(s)) §§ 14-14-7 & 14- NM Individual Yes 14-8(A) (West (Signature of notarial officer) (Seal, if any) 2012) Title (and Rank); [My commission expires: ______]

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State of ______(County) of ______

This instrument was acknowledged before me on (date) by (name(s) of person(s)) as (type N.M. STAT. ANN. of authority, e.g., officer, trustee, etc.) of (name of party on behalf of whom instrument §§ 14-14-7 & 14- NM Representative Yes was executed.) 14-8(B) (West (Signature of notarial officer) 2012) (Seal, if any) Title (and Rank); [My commission expires: ______]

Valid if performed by: (1) a notary public of that jurisdiction; (2) a judge, clerk or deputy N.M. STAT. ANN. § NM Outside of State clerk of a court of that jurisdiction; or (3) any other person authorized by the law of that 14-14-4 (West Yes jurisdiction to perform notarial acts. 2012)

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

Corporation, Joint Stock Company, Estate, General State of New York ) Partnership, Registered or Foreign L.L.P., L..C., ) ss. Professional Service L.L.C., County of ) Foreign L.L.C., Foreign Professional L.L.C., Joint On the ...... day of ...... in the year ... before me, the undersigned, personally appeared Venture, Limited EAL ROP Partnership, Natural ...... , personally known to me or proved to me on the basis of satisfactory evidence to be N.Y. R P . Person, Attorney in Fact, the individual(s) whose name(s) is (are) subscribed to the within instrument and LAW § 309-a(1) & NY Yes Real Estate Investment acknowledged to me that he/she/they executed the same in his/her/their capacity(ies), (4) (McKinney Trust, Business Trust, and that by his/her/their signature(s) on the instrument, the individual(s), or the person Trust, Custodian, 2012) Nominee, Any other upon behalf of which the individual(s) acted, executed the instrument. Individual or Entity in its Own or Any (Signature and office of individual taking acknowledgement.) Representative Capacity (Any Individual or Entity whether Individual or Representative)

State of New York ) ) ss. County of )

On the ...... day of ...... in the year ... before me, the undersigned, personally appeared ...... , the subscribing witness to the foregoing instrument, with whom I am personally N.Y. REAL PROP. Subscribing acquainted, who, being by me duly sworn, did depose and say that he/she/they reside(s) LAW § 309-a(2) Yes NY Witness in ...... (if the place of residence is in a city, include the street and street number, if any, thereof); that he/she/they know(s) ...... to be the individual described in and who (McKinney 2012) executed the foregoing instrument; that said subscribing witness was present and saw said ...... execute the same; and that said witness at the same time subscribed his/her/their name(s) as a witness thereto.

(Signature and office of individual taking proof.)

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Additionally, must state: Person Enlisted, (1)Rank and serial number of the officer taking the acknowledgement, and the command Commissioned in, to which he is attached; N.Y. REAL PROP. or Serving in or (2) The person making such acknowledgement at the time was enlisted or commissioned LAW §§ 300 & Yes NY With the Armed or serving in or with the armed forces. Or the dependent of such person, or a person 309-a(3) Forces of the U.S., attached to or accompanying the armed forces; (McKinney 2012) or a Dependent (3) The serial number of the person who makes, or whose dependent makes the acknowledgment if such person is enlisted or commissioned in the armed forces.

Valid if made before: (1) a mayor or chief civil officer of any city or other political N.Y. REAL PROP. subdivision; (2) a notary public; (3) a commissioner of deeds appointed pursuant to the LAW §§ 299, 300 Outside the State laws of New York to take acknowledgments or proofs without the state; (4) a judge or Yes NY & 309-B other presiding officer of any court having a seal, or the clerk or other certifying officer; or (5) any other person authorized by law to take the acknowledgement or proof of deeds. (McKinney 2012)

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

______County, North Carolina

Individual Acting in I certify that the following person(s) personally appeared before me this day, each His/Her Own Right acknowledging to me that he or she signed the foregoing document: name(s) of principal(s). N.C. GEN. STAT. § NC or in a Yes 10B-41 (2012) Representative or Date: ______Fiduciary Capacity Official Signature of Notary Notary’s printed or typed name, Notary Public (Official Seal) My commission expires: ______

______County, North Carolina

I certify that (name of subscribing witness) personally appeared before me this day and Proof of the certified to me under oath or by affirmation that he or she is not a grantee or beneficiary Signature of a of the transaction, signed the foregoing document as a subscribing witness, and either (i) witnessed (name of principal) sign the foregoing document or (ii) witnessed (name of N.C. GEN. STAT. § NC Principal by a Yes principal) acknowledge his or her signature on the already-signed document. 10B-42 (2012) Subscribing Witness Date: ______Official Signature of Notary Notary’s printed or typed name, Notary Public (Official Seal) My commission expires: ______

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______County, North Carolina Verification or Proof of the I certify (name of nonsubscribing witness) personally appeared before me this day and Signature of a certified to me under oath or by affirmation that he or she is not a grantee or beneficiary of the transaction, that (name of nonsubscribing witness) recognizes the signature of Principal or N.C. GEN. STAT. § NC (name of the principal or the subscribing witness) and that the signature is genuine. Yes Subscribing 10B-42.1 (2012)

Witness by a Date: ______Nonsubscribing Official Signature of Notary Witness Notary’s printed or typed name, Notary Public (Official Seal) My commission expires: ______

Valid if made in accordance with laws of the jurisdiction where the notarial certificate is N.C. GEN. STAT. § NC Outside the State Yes made. 10B-40(e) (2012)

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State of ______[County] of ______

This record was acknowledged before me on _____ (date) by ______(Name(s) of individual(s)). N.D. CENT. CODE §§ 44-06.1-14(3) ND Individual Yes ______& 44-06.1-19(1) Signature of notarial officer (2011) Stamp [______] Title of office [My commission expires: ______.]

State of ______[County] of ______

This record was acknowledged before me on _____ (date) by ______(Name(s) of individual(s)).

N.D. CENT. CODE (type of authority, such as officer or trustee) of (name of party on behalf of whom record §§ 44-06.1-14(3) ND Representative was executed). Yes & 44-06.1-19(2)

______(2011) Signature of notarial officer Stamp [______] Title of office [My commission expires: ______.]

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Valid if performed in another state by: (1) a notary public of that state; (2) a judge, clerk, N.D. CENT. CODE § ND Outside of State or deputy clerk of a court of that state; or (3) any other individual authorized by the law of 44-06.1-10 Yes that state to perform the notarial act. (2011)

State of ______County of ______

The foregoing instrument was acknowledged before me this (date) by (name of person OHIO REV. CODE OH Individual acknowledged.) ANN. § 147.55(A) Yes (West 2012) (Signature of person taking acknowledgment) (Title or rank) (Serial number, if any)

State of ______County of ______

The foregoing instrument was acknowledged before me this (date) by (name of officer or OHIO REV. CODE agent, title of officer or agent) of (name of corporation acknowledging) a (state or place Corporation ANN. § 147.55(B) Yes OH or incorporation) corporation, on behalf of the corporation. (West 2012) (Signature of person taking acknowledgment) (Title or rank) (Serial number, if any)

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State of ______County of ______

The foregoing instrument was acknowledged before me this (date) by (name of OHIO REV. CODE acknowledging partner or agent), partner (or agent) on behalf of (name of partnership), a Partnership ANN. § 147.55(C) Yes OH partnership. (West 2012) (Signature of person taking acknowledgment) (Title or rank) (Serial number, if any)

State of ______County of ______Individual Acting as Principal by an The foregoing instrument was acknowledged before me this (date) by (name of attorney OHIO REV. CODE OH Attorney in Fact in fact) as attorney in fact on behalf of (name of principal). ANN. § 147.55(D) Yes (Individual Power (West 2012) of Attorney) (Signature of person taking acknowledgment) (Title or rank) (Serial number, if any)

State of ______County of ______

Public Officer, The foregoing instrument was acknowledged before me this (date) by (name and title of OHIO REV. CODE OH Trustee, Personal position). ANN. § 147.55(E) Yes Representative (West 2012) (Signature of person taking acknowledgment) (Title or rank) (Serial number, if any)

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

Valid if performed by: (1) notary public authorized to perform notarial acts in the place in which the act is performed; (2) a judge, clerk, or deputy clerk of any court of record in the OHIO REV. CODE OH Outside the State place in which the notarial act is performed; (3) an officer of the foreign service or ANN. § 147.51 Yes consular agent; (4) a commissioned officer or other authorized person; or (5) any other (West 2012) person authorized to perform notarial acts in the place in which the act is performed.

State of County of

This instrument was acknowledged before me on (date) by (name(s) of person(s)). OKLA. STAT. tit. 49, ………………………………………………………………… OK Individual § 119(1) (West Yes (Signature of notarial officer) (Seal, if any) 2012) ………………………………………………………………… Title (and Rank) (My commission expires: )

State of County of

This instrument was acknowledged before me on (date) by (name(s) of person(s)) as (type of authority, e.g., officer, trustee, etc.) of (name of party on behalf of whom instrument OKLA. STAT. tit. 49, was executed). Representative § 119(2) (West Yes OK ………………………………………………………………… (Signature of notarial officer) 2012) (Seal, if any) ………………………………………………………………… Title (and Rank) (My commission expires: )

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

Valid if performed by: (1) a notary public of that jurisdiction; (2) a judge, clerk, or deputy OKLA. STAT. tit. 49, clerk of a court of that jurisdiction; (3) all judge advocates, staff judge advocates, assistant Outside the State § 115 (West Yes OK judge advocates and all legal officers of the state military forces; or (4) any other person authorized by the law of that jurisdiction to perform notarial acts. 2012)

State of ______County of ______

This instrument was acknowledged before me on ______(date) by ______(name(s) of person(s)). OR. REV. STAT. § OR Individual ______194.575(1) (West Yes (Signature of notarial officer) 2012) (Seal, if any) ______Title (and Rank) My commission expires: ______

State of ______County of ______

This instrument was acknowledged before me on ______(date) by ______(name(s) of person(s)) as ______(type of OR. REV. STAT. § authority, e.g., officer, trustee, etc.) of ______. (name of party on behalf of whom Representative 194.575(2) (West Yes OR instrument was executed) ______2012) (Signature of notarial officer) (Seal, if any) ______Title (and Rank) My commission expires: ______

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Valid if performed by: (1) a notary public of that jurisdiction; (2) a judge, clerk or deputy OR. REV. STAT. § OR Outside the State clerk of a court of that jurisdiction; or (3) any other person authorized by the law of that 194.535(1) (West Yes jurisdiction to perform notarial acts. 2012)

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State of ______County of ______

On this, the ____ day of ______, 19____, before me ______, the undersigned officer, personally appeared ______, known to me (or satisfactorily proven) to be the person whose name(s) is/are subscribed to the within instrument, and acknowledged that he/she/they executed the same for the purposes therein contained. In witness whereof, I hereunto set my hand and official seal. ______Title of Officer

21 PA. CONS. STAT. —OR— PA Individual (Single ANN. §§81, 82, Commonwealth of Pennsylvania, ) Yes or Married) 291.1, & 291.7(1) ) ss: (West 2012)

County of )

On this ...... day of ...... A.D. 19...., before me, a ...... in and for ...... , came the above named ...... and acknowledged the foregoing deed to be ...... act and deed, and desired the same to be recorded as such. Witness my hand and ...... seal, the day and year aforesaid. (Seal) ...... (Official character.) My commission expires ......

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State of ______County of ______

On this, the ______day of ______, 19____, before me ______, the undersigned officer, personally appeared ______, who acknowledged himself to be the ______of ______, a corporation, and that he as such ______, being authorized to do so, executed the foregoing instrument for the purposes therein contained by signing the name of the corporation by himself as ______. In witness whereof, I hereunto set my hand and official seal. ______Title of Officer 21 PA. CONS. STAT.

ANN. §§ 112, PA Corporation [Any deed, conveyance, mortgage or other instrument in writing, made and executed by a Yes corporation, may be acknowledged by any officer of said corporation whose signature 291.1, & 291.7(2) appears on such deed, conveyance, mortgage or other instrument in writing, in execution (West 2012) or in attestation of the execution thereof.]

—OR—

I hereby certify that on this ______day of ______, in the year of our Lord and ______, before me, the subscriber (title of officer taking acknowledgment), personally appeared (name of attorney) the attorney named in the foregoing (name of instrument), and by virtue and in pursuance of the authority therein conferred upon him, acknowledged the said (name of instrument) to be the act of the said (corporation's name).

Witness my hand and ______seal the day and year aforesaid.

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State of ______County of ______

On this, the ____ day of ______, 19____, before me ______, the undersigned Attorney in Fact officer, personally appeared ______, known to me (or satisfactorily proven) to be the 21 PA. CONS. STAT. (Power of person whose name is subscribed as attorney in fact for ______, and PA ANN. § 291.7(3) Yes Attorney) acknowledged that he executed the same as the act of his principal for the purposes (West 2012) therein contained. In witness whereof, I hereunto set my hand and official seal. ______Title of Officer

State of ______County of ______

On this, the ____ day of ______, 19____, before me ______, the undersigned Public Officer, officer, personally appeared ______of the State (County or City as the case may 21 PA. CONS. STAT. Deputy, Trustee, be) of ______known to me (or satisfactorily proven) to be the person described in PA the foregoing instrument, and acknowledged that he executed the same in the capacity ANN. § 291.7(4) Yes Administrator, therein stated and for the purposes therein contained. (West 2012) Guardian, Executor In witness whereof, I hereunto set my hand and official seal. ______Title of Officer

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State of ______County of ______

On this, the ______day of ______, 19___, before me______, the undersigned officer, personally appeared______, known to me (or satisfactorily proven) to be a member of the bar of the highest court of said state and 21 PA. CONS. STAT. a subscribing witness to the within instrument, and certified that he was personally Attorney at Law ANN. § 291.7(5) Yes PA present when ______whose name ______subscribed to the within instrument executed the same, and that said person ______acknowledged (West 2012) that ______he ______executed the same for the purposes therein contained. In witness whereof, I hereunto set my hand and official seal. ______Title of Officer

On this the ...... day of ...... 19 ..., before me, the undersigned officer, personally appeared ...... , (Serial No.) ...... (if any) known to me (or satisfactorily proven) to be (serving in or with the armed forces of the United States) (a dependent of ...... (Serial No.) ...... (if any) a person serving in or with the armed forces of the Persons Serving in United States) and to be the person whose name is subscribed to the within instrument or with the Armed and acknowledged that ..... he .....executed the same for the purposes therein contained. 21 PA. CONS. STAT. PA Forces of the And the undersigned does further certify that he is at the date of this certificate a ANN. § 291.10a Yes United States or commissioned officer of the rank stated below and is in the active service of the armed (West 2012) their Dependents forces of the United States. ______Signature of the Officer ______Rank and Serial No. of Officer and Command to which attached

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Valid if performed by: (1) a clerk or deputy clerk of any federal court; (2) a clerk, 21 PA. CONS. STAT. PA Outside the State prothonotary or deputy prothonotary or deputy clerk of any court of record of any state ANN. § 291.3 Yes or other jurisdiction; (3) a notary public; or (4) a recorder of deeds. (West 2012)

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State of ______County of ______

On this ____ day of ______, 20___, before me, the undersigned notary public, personally appeared ______(name of document signer), Signature or Mark personally known to the notary or proved to the notary through satisfactory evidence of Secretary of of Persons – either identification, which was ______, to be the person whose name is State’s “Notary RI signed on the preceding or attached document, and acknowledged to the notary that Yes Individually or as a Public Guide”, (he)(she) signed it voluntarily for its stated purpose. Representative (as partner for ______, a partnership) §3(f) (2009). (as ______for ______, a corporation) (as attorney in fact for ______, the principal) (as ______for ______, (a)(the) ______) ______(official signature and seal of notary)

R.I. GEN. LAWS Valid if executed in the manner prescribed by the law of the state, District of Columbia, RI Outside the State ANN. § 34-12-1 Yes territory or such dependency, where executed. (West 2012)

State of ______County of ______S.C. CODE ANN. §§ The foregoing instrument was acknowledged before me this (date) by (name of person 26-3-50, 26-3- SC Individual Yes acknowledged). 70(1), & 26-3-80 (Signature of Person Taking Acknowledgment) (2011) (Title or Rank) (Serial Number, if any)

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State of ______County of ______

The foregoing instrument was acknowledged before me this (date) by (name of officer or S.C. CODE ANN. §§ agent, title of officer or agent) of (name of corporation acknowledging) a (state or place of 26-3-50, 26-3- SC Corporation Yes incorporation) corporation, on behalf of the corporation. 70(2), & 26-3-80 (2011) (Signature of Person Taking Acknowledgment) (Title or Rank) (Serial Number, if any)

State of ______County of ______

The foregoing instrument was acknowledged before me this (date) by (name of S.C. CODE ANN. §§ acknowledging partner or agent), partner (or agent) on behalf of (name of partnership), a 26-3-50, 26-3- SC Partnership Yes partnership. 70(3), & 26-3-80 (2011) (Signature of Person Taking Acknowledgment) (Title or Rank) (Serial Number, if any)

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

State of ______County of ______Individual Acting as S.C. CODE ANN. §§ Principal by an The foregoing instrument was acknowledged before me this (date) by (name of attorney 26-3-50, 26-3- SC Attorney in Fact in fact) as attorney in fact on behalf of (name of principal). Yes 70(4), & 26-3-80 (Individual Power (2011) of Attorney) (Signature of Person Taking Acknowledgment) (Title or Rank) (Serial Number, if any)

State of ______County of ______

S.C. CODE ANN. §§ Public Officer, The foregoing instrument was acknowledged before me this (date) by (name and title of 26-3-50, 26-3- Trustee, Personal position). Yes SC 70(5), & 26-3-80 Representative (Signature of Person Taking Acknowledgment) (2011) (Title or Rank) (Serial Number, if any)

Valid if performed by: (1) a notary public authorized to perform notarial acts in the place in which the act is performed; (2) a judge, clerk, or deputy clerk of any court of record in S.C. CODE ANN. § Outside the State the place in which the notarial act is performed; (3) an officer of the foreign service or a Yes SC 26-3-20 (2011) consular agent; (4) a commissioned officer or other authorized person; or (5) any other person authorized to perform notarial acts in the place in which the act is performed.

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State of ____ County of ____

On this the ____ day of ____, 20__, before me, ____, the undersigned officer, personally S.D. CODIFIED LAWS Individual (single appeared ____, known to me or satisfactorily proven to be the person whose name(s) §§ 18-5-1, 18-5- SD is/are subscribed to the within instrument and acknowledged that -- he -- executed the Yes or married) 6, & 18-5-8 same for the purposes therein contained. In witness whereof I hereunto set my hand and official seal. (2012) ______Title of officer

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State of ____ County of ____

On this the ____ day of ____, 20__, before me, ____, the undersigned officer, personally appeared ____, who acknowledged himself to be the ____ of ____, a corporation, and that he, as such ____ being authorized so to do, executed the foregoing instrument for the purposes therein contained, by signing the name of the corporation by himself as ____. In witness whereof I hereunto set my hand and official seal. S.D. CODIFIED LAWS ______§§18-4-13, 18-5- Corporation ______Yes SD 1, & 18-5-9 Title of officer —OR— (2012)

Territory of ____ or State of ____ County of ____ ss

On this ____ day of ____, in the year ____, before me ____, personally appeared ____, known to me (or proved to me on the oath of ____) to be the ____ of the corporation that is described in and that executed the within instrument and acknowledged to me that such corporation executed the same.

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State of ____ County of ____

On this the ____ day of ____, 20__, before me, ____, the undersigned officer, personally appeared ____, known to me or satisfactorily proven to be the person whose name is subscribed as attorney in fact for ____, and acknowledged that he executed the same as the act of his principal for the purposes therein contained. In witness whereof I hereunto set my hand and official seal. ______S.D. CODIFIED LAWS Attorney (Power of ______§§ 18-4-14, 18-5- Title of officer Yes SD Attorney) 1, & 18-5-10 —OR— (2012) Territory of ____ or State of ____ County of ____ ss

On this ____ day of ____, in the year ____, before me personally appeared ____, known to me (or proved to me on the oath of ____) to be the person who is described in and whose name is subscribed to the within instrument as the attorney in fact of ____, and acknowledged to me that he subscribed the name of ____ thereto as principal and his own name as attorney in fact.

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

State of ______County of ______

On this the ______day of ______, 20____, before me, ______, the undersigned officer, personally appeared ______, of the state, county or city as the case may be of S.D. CODIFIED LAWS Public Officer or ______, known to me or satisfactorily proven to be the person described in the SD §§ 18-5-1 & 18-5- Yes Fiduciary foregoing instrument, and acknowledged that he executed the same in the capacity therein stated and for the purposes therein contained. 11 (2012) In witness whereof I hereunto set my hand and official seal. ______Title of officer

State of ____ County of ____

On this the ____ day of ____, 20__, before me, ____, the undersigned officer, personally appeared ____, who acknowledged himself to be one of the partners of ____, a S.D. CODIFIED LAWS partnership, and that he, as such partner, being authorized so to do, executed the Partner §§ 18-5-1 & 18-5- Yes SD foregoing instrument for the purposes therein contained, by signing the name of the partnership by himself as a partner. 12 (2012) In witness whereof I hereunto set my hand and official seal. ______Title of officer

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Territory of ____ or State of ____ County of ____ ss S.D. CODIFIED LAWS Any other Capacity On this ____ day of ____, in the year ____, before me personally appeared ____, known §§ 18-4-12 & 18- Yes SD not listed to me (or proved to me on the oath of ____) to be the person who is described in, and 5-1 (2012) who executed the within instrument and acknowledged to me that he (or they) executed the same.

Valid in state if acknowledgment complies with laws of the jurisdiction where the S.D. CODIFIED LAWS SD Outside the State Yes acknowledgment is taken. § 18-5-15 (2012)

State of Tennessee ) County of ______) Natural Persons TENN. CODE ANN. § TN (single or married) On this ___ day of ___, 20___, before me personally appeared ______, to me known 66-22-107(b) Yes (Individual) to be the person (or persons) described in and who executed the foregoing instrument, (West 2012) and acknowledged that such person (or persons) executed the same as such person (or person's) free act and deed.

State of Tennessee ) Natural Persons County of ______) TENN. CODE ANN. § Acting by Attorney On this ___ day of ___, 20___, before me personally appeared ______, to me known 66-22-107(c) Yes TN (Individual Power (or proved to me on the basis of satisfactory evidence) to be the person who executed the (West 2012) of Attorney) foregoing instrument in behalf of ___ acknowledged that such person executed the same as the free act and deed of ______.

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[In case the corporation or association has no corporate seal, omit the words “the seal affixed to the instrument is the corporate seal of the corporation or association and that,” and add at the end of the affidavit clause, the words “and that the corporation (or association) has no corporate seal”). (In all cases add signature and title of officer taking the acknowledgment.]

State of ______) County of ______)

Before me, ______of the state and county mentioned, personally appeared ______, with whom I am personally acquainted (or proved to me on the basis of satisfactory evidence), and who, upon oath, acknowledged such person to be president (or other officer authorized to execute the instrument) of the ______, the within named bargainor, a corporation, and that such president or officer as such ______, executed the foregoing instrument for the purpose therein contained, by personally TENN. CODE ANN. § TN Corporation signing the name of the corporation as ___. 66-22-108(a) Yes Witness my hand and seal, at office in ______, this ______day of ______. (West 2012)

—OR—

State of ______) County of ______)

On this ___ day of ___, 20 ___ before me appear A. B., to me personally known (or proved to me on the basis of satisfactory evidence), who, being by me duly sworn (or affirmed) did say that such person is the president (or other officer or agent of the corporation or association) of (describing the corporation or association), and that the seal affixed to the instrument is the corporate seal of the corporation (or association), and that the instrument was signed and sealed in behalf of the corporation (or association), by authority of its Board of Directors (or Trustees) and A. B. acknowledged the instrument to be the free act and deed of the corporation (or association).

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State of ______) County of ______)

Before me, ______, of the state and county aforementioned, personally appeared ______, with whom I am personally acquainted (or proved to me on the basis of TENN. CODE ANN. § TN Partnership satisfactory evidence), and who, upon oath, acknowledged such person to be a partner of 66-22-108(b) Yes ______, the within name bargainor, a partnership, and that such person, as such (West 2012) partner, executed the foregoing instrument for the purpose therein contained, by signing the name of the partnership by such person as partner.

Witness my hand and seal, this ______day of ______, 19______.

State of ______) County of ______)

Personally appeared before me, (name of officer), (official capacity of officer), (name of the natural person executing the instrument), with whom I am personally acquainted, and who acknowledged that such person executed the within instrument for the purposes TENN. CODE ANN. § therein contained (the following to be included only where the natural person is General 66-22-114 (West Yes TN executing as agent), and who further acknowledged that such person is the (identification of the agency position of the natural person executing the instrument, such as “attorney- 2012) in-fact” or “president” or “general partner”) of the maker or a constituent of the maker and is authorized by the maker or by its constituent, the constituent being authorized by the maker, to execute this instrument on behalf of the maker.

Witness my hand, at office, this ___ day of ______, 19 ___.

TENN. CODE ANN. § TN Outside the State Valid if in the form required by the laws or regulations applicable in the state where the 66-22-115 (West Yes acknowledgment is taken. 2012)

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The State of ______, “County of ______,

“Before me ______(here insert the name and character of the officer) on this day personally appeared ______, known to me (or proved to me on the oath of TEX. CIV. PRAC. & ______or through ______(description of identity card or REM. CODE ANN. § TX Ordinary Yes other document)) to be the person whose name is subscribed to the foregoing instrument 121.007 (West and acknowledged to me that he executed the same for the purposes and consideration 2011) therein expressed. (Seal) “Given under my hand and seal of office this ______day of ______, A.D., ______.”

State of Texas County of ______

TEX. CIV. PRAC. & Natural Person This instrument was acknowledged before me on (date) by (name or names of person or REM. CODE ANN. § Acting in His own persons acknowledging). Yes TX 121.008(b)(1) Right (Individual) (Signature of officer) (West 2011) (Title of officer) My commission expires:______

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State of Texas Natural Person as County of ______TEX. CIV. PRAC. & Principal Acting by This instrument was acknowledged before me on (date) by (name of attorney-in-fact) as REM. CODE ANN. § Attorney-in-Fact Yes TX attorney-in-fact on behalf of (name of principal). 121.008(b)(2) (Individual Power (Signature of officer) (West 2011) of Attorney) (Title of officer) My commission expires:______

State of Texas County of ______

TEX. CIV. PRAC. & Partnership Acting This instrument was acknowledged before me on (date) by (name of acknowledging REM. CODE ANN. § TX by One or More partner or partners), partner(s) on behalf of (name of partnership), a partnership. Yes 121.008(b)(3) Partners (Signature of officer) (Title of officer) (West 2011) My commission expires: ______

State of Texas County of ______

TEX. CIV. PRAC. & This instrument was acknowledged before me on (date) by (name of officer), (title of REM. CODE ANN. § TX Corporation officer) of (name of corporation acknowledging) a (state of incorporation) corporation, on Yes 121.008(b)(4) behalf of said corporation. (Signature of officer) (West 2011) (Title of officer) My commission expires:______

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State of Texas Public Officer, County of ______Trustee, TEX. CIV. PRAC. & Administrator, This instrument was acknowledged before me on (date) by (name of representative) as REM. CODE ANN. § Yes TX Guardian, Other (title of representative) of (name of entity or person represented). 121.008(b)(5) Representative (Signature of officer) (West 2011) (Title of officer) My commission expires:______

TEX. CIV. PRAC. & May be taken by: (1) a clerk of a court of record having a seal; (2) a commissioner of REM. CODE ANN. § TX Outside the State Yes deeds appointed under the laws of this state; or (3) a notary public. 121.001(b) (West 2011)

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State of ) ) ss. County of )

The foregoing instrument was acknowledged before me this (date) by (person acknowledging, title or representative capacity, if any). UTAH CODE ANN. § UT General ______57-2a-7 (West Yes (Signature of Person Taking Acknowledgment) 2012) (Seal) (Title) My commission expires: Residing at: ______

State of ) ) ss. County of ) UTAH CODE ANN. § On this _____, day of ______,2_____, personally appeared before me 57-2a-6 (West ______(name of document signer), whose identity is personally 2012) known to me (or proven on the basis of satisfactory evidence) and who by me duly Lieutenant UT Corporate Yes sworn/affirmed, did say that he/she is the ______(Title or Office) of Governor’s ______(Name of Corporation) and that said document was Model signed by him/her in behalf of said *Corporation by Authority of its Bylaws, or (Resolution Acknowledgment of its Board of Directors,) and said ______(name of document signer) acknowledged to me that said *Corporation executed the same. ______Notary Public

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State of ) ) ss. County of ) UTAH CODE ANN. § 57-2a-6 (West On this _____, day of ______,2_____, personally appeared before me 2012) Attorney-in-Fact ______, who being by me duly sworn/affirmed, did say the he/she is Lieutenant UT (Power of the attorney-in-fact of ______, and that said instrument was signed Governor’s Yes Attorney) on behalf of said ______acknowledged to me that he/she as such Model attorney-in-fact executed the same. Acknowledgment ______Notary Public [Must present original Power of Attorney when signing in representative capacity as satisfactory evidence of authority to sign]

Valid if performed by: (1) a notary public authorized to perform notarial acts in the place where the act is performed; (2) a judge, clerk, or deputy clerk of any court of record in the place where the notarial act is performed; (3) an officer of the foreign service or a UTAH CODE ANN. § UT Outside the State consular agent authorized to perform notarial acts in the place where the act is 57-2a-3(2) (West Yes performed; (4) a commissioned officer or any other person authorized to perform notarial 2012) acts; or (5) any other person authorized to perform notarial acts in the place where the act is performed.

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STATE OF ) ) ss. COUNTY OF ) Vermont Notary Public Guide, VT General On this ____ day of ______,20___, before me personally appeared (name of person Yes page 5 acknowledging) to me known to be the person who executed the foregoing instrument, and he (she) thereupon duly acknowledged to me that he (she) executed the same to be his (her) free act and deed. (Notary signs here)

VT. STAT. ANN. tit. Valid if certified according to the laws of the state in which such acknowledgment or VT Outside the State 27, § 379 (West Yes proof is taken OR if taken before a proper officer of the state of Vermont. 2012)

State of ...... County of ......

VA. CODE ANN. § The foregoing instrument was acknowledged before me this (date) by (name of person VA Individual 55-118.6(1) Yes acknowledged). (Signature of Person Taking Acknowledgment) (West 2012) (Title or Rank) (Serial Number, if any)

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State of ...... County of ......

The foregoing instrument was acknowledged before me this (date) by (name of officer or VA. CODE ANN. § VA Corporation agent, title of officer or agent) of (name of corporation acknowledging) a (state or place of 55-118.6(2) Yes incorporation) corporation, on behalf of the corporation. (West 2012) (Signature of Person Taking Acknowledgment) (Title or Rank) (Serial Number, if any)

State of ...... County of ......

The foregoing instrument was acknowledged before me this (date) by (name of VA. CODE ANN. § VA Partnership acknowledging partner or agent), partner (or agent) on behalf of (name of partnership), a 55-118.6(3) Yes partnership. (West 2012) (Signature of Person Taking Acknowledgment) (Title or Rank) (Serial Number, if any)

State of ...... Individual Acting as County of ......

Principal by an VA. CODE ANN. § The foregoing instrument was acknowledged before me this (date) by (name of attorney- Attorney-in-Fact 55-118.6(4) Yes VA in-fact) as attorney-in-fact on behalf of (name of principal). (Individual Power (Signature of Person Taking Acknowledgment) (West 2012) of Attorney) (Title or Rank) (Serial Number, if any)

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State of ...... County of ......

Public Officer, VA. CODE ANN. § The foregoing instrument was acknowledged before me this (date) by (name and title of Trustee, Personal 55-118.6(5) Yes VA position). Representative (Signature of Person Taking Acknowledgment) (West 2012) (Title or Rank) (Serial Number, if any)

Valid if performed by: (1) a notary public authorized to perform notarial acts under the laws of that jurisdiction; (2) a judge, clerk, or deputy clerk of any record in the place in VA. CODE ANN. § which the notarial act is performed; (3) an officer of the foreign service or a consular Outside the State 47.1-13.1 (West Yes VA agent authorized to perform notarial acts in the place in which the act is performed; (4) a commissioned officer or other authorized person to perform notarial acts; or (5) any 2012) person authorized to perform acts in the place in which the act is performed.

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State of Washington County of......

I certify that I know or have satisfactory evidence that (name of person) is the person who appeared before me, and said person acknowledged that (he/she) signed this instrument and acknowledged it to be (his/her) free and voluntary act for the uses and purposes mentioned in the instrument. Dated: ...... ______(Signature) (Seal or stamp) ______Title My appointment expires______WASH. REV. CODE —OR— §§ 42.44.100(1) WA Individual Yes & 64.08.060 State of ) (West 2012) ) ss. County of )

On this day personally appeared before me (here insert the name of grantor or grantors) to me known to be the individual, or individuals described in and who executed the within and foregoing instrument, and acknowledged that he (she or they) signed the same as his (her or their) free and voluntary act and deed, for the uses and purposes therein mentioned. Given under my hand and official seal this .... day of ...... , 19... (Signature of officer and official seal)

If acknowledgment is taken before a notary public of this state the signature shall be followed by substantially the following: Notary Public in and for the state of Washington, residing at ...... , (giving place of residence).

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State of Washington County of ......

I certify that I know or have satisfactory evidence that (name of person) is the person who appeared before me, and said person acknowledged that (he/she) signed this instrument, on oath stated that (he/she) was authorized to execute the instrument and acknowledged it as the (type of authority, e.g., officer, trustee, etc.) of (name of party on behalf of whom WASH. REV. CODE § WA Representative instrument was executed) to be the free and voluntary act of such party for the uses and 42.44.100(2) Yes purposes mentioned in the instrument. (West 2012) Dated: ...... ______(Signature) (Seal or stamp) ______Title My appointment expires______

State of Washington County of ......

Certifying I certify that the event or act described in this document has occurred or been performed. Occurrence of an Dated: ...... WASH. REV. CODE § WA Event or ______42.44.100(6) Yes Performance of an (Signature) (West 2012) Act (Seal or stamp) ______Title My appointment expires______

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State of ) ) ss. County of )

On this .... day of ...... , 19..., before me personally appeared ...... , to me known to be the (president, vice president, secretary, treasurer, or other authorized officer or agent, as WASH. REV. CODE the case may be) of the corporation that executed the within and foregoing instrument, §§ 42.44.100(2) Corporation Yes WA and acknowledged said instrument to be the free and voluntary act and deed of said & 64.08.070 corporation, for the uses and purposes therein mentioned, and on oath stated that he or (West 2012) she was authorized to execute said instrument and that the seal affixed is the corporate seal of said corporation. In Witness Whereof I have hereunto set my hand and affixed my official seal the day and year first above written. (Signature and title of officer with place of residence of notary public.)

Valid in state if taken by the laws of the state where the acknowledgment is taken. If taken before a person other than a commissioner appointed by the governor, a clerk of a WASH. REV. CODE § court of record of such jurisdiction, or before a notary public or other officer having a seal Outside the State 64.08.020 (West Yes WA of office, you must attach a certificate of the clerk of a court of record where the acknowledgment was taken, under seal of said court, certifying that the person who took 2012) the acknowledgment was authorized at the time.

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(Description or location of place where acknowledgment is taken).

On this ... day of ..., in the year ..., before me ... (name and title of person acting as a notary and refer to law or authority granting power to act as a notary), personally appear ... (name of citizen) known to me to be the person who executed the within ... (type of W. VA. CODE § U.S. Citizen document) and acknowledged to me that ... (he) executed the same for the purposes WV 29C-5-101(b)(1) Yes Outside the U.S. therein stated. ______(West 2012)

(Official signature and official seal of person

acting as a notary and refer to law or

authority granting power to act as a notary)

State of ...... , County of ......

On this ... day of ...... , in the year ..., before me ...... (name of notary), a notary public in and for said state, personally appeared ...... (name of individual), known to me to be the person who, being unable to write his name, made his mark in my presence. I signed his name at his request and in his presence on the within ... (type of document) and he Individual who acknowledged to me and the two witnesses who have signed and printed their names and W. VA. CODE § WV Cannot Write His addresses hereto, that he made his mark on the same for the purposes therein stated. 29C-5-101(b)(2) Yes Name ______(West 2012)

(Official signature and official seal of notary)

______

______

(Signatures of two witnesses and their addresses)

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

State of……………………………………………………………………………… County of………………………………………………………………………………

The foregoing instrument was acknowledged before me this……………………(date) by…………………………………………………(name of person acknowledged) W. VA. CODE § 39-

Individual 1A-6(1) (West Yes WV ………………………………………………………………………………….. (Signature of Person Taking Acknowledgment) 2012) ………………………………………………………………………………….. (Title or Rank) ………………………………………………………………………………….. (Serial Number, if any)

State of……………………………………………………………………………… County of………………………………………………………………………………

The foregoing instrument was acknowledged before me this……………………(date) by…………………………………………………(name of officer or agent, title of officer or agent) of, …………………………………………………(name of corporation acknowledging) a W. VA. CODE § 39- Corporation …………………………………………………(state or place of incorporation) corporation, on behalf of WV the corporation. 1A-6(2) (West Yes

2012) ………………………………………………………………………………….. (Signature of Person Taking Acknowledgment) ………………………………………………………………………………….. (Title or Rank) ………………………………………………………………………………….. (Serial Number, if any)

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

State of……………………………………………………………………………… County of………………………………………………………………………………

The foregoing instrument was acknowledged before me this……………………(date) by…………………………………………………(name of acknowledging partner or agent) partner (or agent) on behalf of, …………………………………………………(name of partnership) a partnership. W. VA. CODE § 39- WV Partnership 1A-6(3) (West Yes ………………………………………………………………………………….. 2012) (Signature of Person Taking Acknowledgment) ………………………………………………………………………………….. (Title or Rank) ………………………………………………………………………………….. (Serial Number, if any)

State of……………………………………………………………………………… County of………………………………………………………………………………

The foregoing instrument was acknowledged before me this……………………(date) Individual Acting as by…………………………………………………(name of attorney in fact) as attorney in fact on behalf Principal by an of, …………………………………………………(name of principle). W. VA. CODE § 39- WV Attorney in Fact 1A-6(4) (West Yes (Individual Power ………………………………………………………………………………….. 2012) of Attorney) (Signature of Person Taking Acknowledgment) ………………………………………………………………………………….. (Title or Rank) ………………………………………………………………………………….. (Serial Number, if any)

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

State of……………………………………………………………………………… County of………………………………………………………………………………

The foregoing instrument was acknowledged before me this……………………(date) by…………………………………………………(name and title of position). Public Officer, W. VA. CODE § 39-

Trustee, Personal 1A-6(5) (West Yes WV ………………………………………………………………………………….. Representative (Signature of Person Taking Acknowledgment) 2012) ………………………………………………………………………………….. (Title or Rank) ………………………………………………………………………………….. (Serial Number, if any)

W. VA. CODE § Valid if use one of West Virginia’s ‘statutory short forms of acknowledgment’, “whether Outside the State 29C-5-101 (West Yes WV the acknowledgment is taken within or without this state.” 2012)

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

State of .... County of ....

This instrument was acknowledged before me on (date) by (name(s) of person(s)). WIS. STAT. § ...... WI Individual 706.07(8)(a) Yes (Signature of notarial officer) (Seal, if any) (West 2011) ...... Title (and Rank) [My commission expires: ....]

State of .... County of ....

This instrument was acknowledged before me on (date) by (name(s) of person(s)) as (type of authority, e.g., officer, trustee, etc.) of (name of party on behalf of whom instrument WIS. STAT. § was executed). Representative 706.07(8)(b) Yes WI ...... (Signature of notarial officer) (West 2011) (Seal, if any) ...... Title (and Rank) [My commission expires: ....]

Valid if taken by: (1) a notary public of that jurisdiction; (2) a judge, clerk, or deputy clerk WIS. STAT. § WI Outside the State of a court of that jurisdiction; or (3) any other person authorized by the law of the 706.07(4) (West Yes jurisdiction to perform notarial acts. 2011)

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State Capacity Language of Notary Section Legal Citation(s) Modifiable

State of______County of______

This instrument was acknowledged before me on (date) by (name(s) of person(s)). WYO. STAT. ANN. § (Seal, if any) WY Individual 34-26-108(a)(i) Yes ______(Signature of notarial officer) (West 2012) ______Title (and Rank) [My commission expires: ______]

State of______County of______

This instrument was acknowledged before me on (date) by (name(s) of person(s)) as (type of authority, e.g., officer, trustee, etc.) of (name of party on behalf of whom instrument WYO. STAT. ANN. § WY Representative was executed). 34-26-108(a)(ii) Yes ______(West 2012) (Signature of notarial officer) ______Title (and Rank) [My commission expires: ______]

Valid if performed by: (1) a notarial officer of that jurisdiction; (2) a judge, clerk or deputy WYO. STAT. ANN. § WY Outside the State clerk of a court of that jurisdiction; or (3) any other person authorized by the law of that 34-26-104 (West Yes jurisdiction to perform notarial acts. 2012)

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1 Introductory language states, “[a]ny certificate of acknowledgment taken within this state shall be in the following form” CAL CIV. CODE §1189 (1)(2012)(emphasis added). However, California courts are liberal, despite the mandatory statutory language, when analyzing the sufficiency of an acknowledgement’s language. “[I]t was the policy of the law to construe certificates of acknowledgment liberally, and, if words of equivalent import to those of the statute were employed, it was sufficient, and the certificate would not be vitiated by unsubstantial clerical errors, nor by omission of words not essential to an intelligent understanding of its meaning. Technical construction is to be avoided wherever the words are reasonably susceptible of an interpretation which will give meaning to all of its clauses and make it legally effective.” Favello v. Bank of Am. Nat’l Trust & Sav. Ass'n, 74 P.2d 1057, 1059 (Cal. Ct. App. 1938)(citing several cases as a standing practice to interpret such certificates of acknowledgement liberally).

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