STATE OF IOWA)
)§§.
_______________ County)
On this ________ day of ___________________, A.D., 20_____, before me ____________________, a Notary Public in and for the County of ___________, State of Iowa, personally appeared ________________________________ and _______________________________ each of whom to me are personally known, and each of whom by me severally sworn and each for himself did say, that the said _______________________________________________ is President, and the said ______________________________________________ is Secretary, of the said ________________________________________________, a corporation of _________________________ County, Iowa, and that the Seal affixed to the above said instrument is the Corporate Seal of the said Corporation, and that the foregoing instrument was Signed and Sealed in behalf of the said Corporation by authority of its Board of Directors and the said _____________________________________ as President, and ______________________________ as Secretary, did severally acknowledge the execution of said instrument as the voluntary act and deed of the said Corporation by its voluntary execution of _____________________________.
In Witness Whereof, I have hereunto signed my name and affixed my Notarial Seal the day and year last above written.
__________________________________________________
Notary Public in and for ___________ County, State of Iowa
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