WA Acknowledgment-Individual 1

STATE OF WASHINGTON)

) SS.

County of @)

I certify that I know or have satisfactory evidence that @ is/are the person(s) who appeared before me, and said person(s) acknowledged that he/she/they signed this instrument and acknowledged it to be his/her/their free and voluntary act for the uses and purposes mentioned in this instrument.

DATED: @

____________________________________________________

Name (typed or printed): @ __________________________

NOTARY PUBLIC in and for the State of @ _________

Residing at @ ______________________________________

My appointment expires: @ _________________________

No guidelines are available for this form at this time.