Acknowledgment Notary Form
Acknowledgment Notary Form
State of
County of
Before me, the undersigned notary public, on this day personally appeared:
Who is/are personally known to me or has/have provided satisfactory evidence of identification (described below) to be the person(s) whose name(s) is/are subscribed to this document, and he/she/they acknowledged that he/she/they executed the same for the purposes therein contained.
Type of Identification Provided
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Driver's License
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Passport
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Other (specify):
This acknowledgment is being made for:
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Individual Capacity
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Corporate Capacity
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Attorney-in-Fact
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Other (specify)
Date of Document:
Document Type:
Document Title:
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my official seal on this this
Name:
Date:
Commission Expires:
Notary Seal
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