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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).Signature of Person TakingAcknowledgmentTitle or RankSerial 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 incorporation) corporation,
on behalf of the corporation.
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 member or manager),
member (or manager) of (name of limited liability company acknowledging) a (state or place of
organization) limited liability company, on behalf of the limited liability company.
Signature of Person Taking
Acknowledgment
Member (or Manager)
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 (partnership, limited partnership, or
limited liability partnership).
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 attorney-in-fact) as
attorney-in-fact on behalf of (name of principal).
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 and title of position).
Signature of Person Taking
Acknowledgment
Title or Rank
Serial Number, if any
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Note to HTML Version:
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