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Notary Public of New York
General Acknowledgement
On the ________ day of ________________ in the year 20______ before me, the under-signed, personally appeared
____________________________________________________________________, personally known to me or proved to me on the basis of satisfactory evidence to be the individual(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 capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument.
Sworn before me
_________________________________________
Notary Public (print)
_________________________________________
Notary Public of New York State (seal)
{Notary Seal}
Registration no. #___________________________
Commission Expires: ________________ ________, 20______.
Initials: _______. Date: ____/____/ 20 ______.
© 2011 Notary Public of New York - www.NotaryPublicOfNewYork.com -
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