_______________, ss.
On this ________ day of _____________, 20___, before me, the undersigned notary public, ______________ (name of document signer) personally appeared, proved to me through satisfactory evidence of identification, which were ____________________ , to be the person whose name is signed on the preceding or attached document, and acknowledged to me that (he) (she) signed it voluntarily for its stated purpose as _________________________for _____________________________________, a corporation / limited liability company as the voluntary act of the corporation / limited liability company.
[affix or imprint official seal]
_____________________
, Notary Public
My commission expires:
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