STATE OF MICHIGAN)
) SS.
COUNTY OF __________________________)
The foregoing instrument was acknowledged before me this ________ day of ____________________________ 20___ by ______________________________
__________________________________________________________________
(Individual Name(s) and Office(s) Held) ________________________________ of
__________________________________________________________________,
(Corporate Name)
a , _______________________________ corporation, on behalf of the corporation.
(State of Corporation)
_________________________________________
Notary Public
County, Michigan
My commission expires _______________________ 20_____
No guidelines are available for this form at this time.