STATE OF SOUTH DAKOTA)
) ss.
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(s) was subscribed to the within instrument and acknowledged that it was executed the same for the purposes therein contained.
In witness whereof I hereunto set my hand and official seal.
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Title of Officer
My commission expires ________________
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