Sample: Acknowledgment by an Individual

STATE OF ) COUNTY OF )

I certify that ____________________________________, who o is personally known to me to be the person whose name is subscribed to the foregoing instrument o produced ______________________________ as identification, personally appeared before me on _______________________, and o acknowledged the execution of the foregoing instrument o acknowledged that (s)he is (Assistant) Secretary of ___________________, and that by authority duly given and as the act of the corporation, the foregoing instrument was signed in its name by its (Vice) President, sealed with its corporate seal and attested by him/her as its (Assistant) Secretary. _______________________________

Notary Public, State of ______________________

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Sample: Acknowledgment by a Corporation

STATE OF ) COUNTY OF )

I certify that ____________________________________, who o is personally known to me to be the person whose name is subscribed to the foregoing instrument o produced ______________________________ as identification, personally appeared before me on _______________________, and o acknowledged the execution of the foregoing instrument o acknowledged that (s)he is (Assistant) Secretary of ___________________, and that by authority duly given and as the act of the corporation, the foregoing instrument was signed in its name by its (Vice) President, sealed with its corporate seal and attested by him/her as its (Assistant) Secretary. _______________________________

Notary Public, State of ____________________

My commission expires: