STATE OF ____
COUNTY OF____
Personally appeared before me, the undersigned authority in and for the said county and state, on this____ day of____, 20____, within my jurisdiction, the within named____, who acknowledged to me that (he) (she) is____ of____, a ____ corporation and general partner of____, a____ limited partnership, and that for and on behalf of said corporation as general partner of said limited partnership, and as the act and deed of said corporation as general partner of said limited partnership, and as the act and deed of said limited partnership, (he) (she) executed the above and foregoing instrument, after first having been duly authorized by said corporation and said limited partnership so to do.
My commission expires:
____
For issuing guidelines on this form, see Guidelines.