Acknowledgment-Corporation in Representative Capacity 1
STATE OF ________________
COUNTY OF ______________
I, _______________________________, a Notary Public in and for said County in said State, hereby certify that ___________________________, whose name as ____________________________ of _______________________________, a corporation as _______________________________ is signed to the foregoing conveyance, and who is known to me, acknowledged before me on this day, that being informed of the contents of said conveyance, he, as such officer, and with full authority, executed the same voluntarily for and as the act of said corporation, acting in its capacity as ___________________________________, as aforesaid.
Given under my hand this the _____ day of _________, 20 ______.
___________________________
Notary Public
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