WI Acknowledgment-Individual 1

State of Wisconsin,)

)ss.

__________________ County.)

Personally came before me this ________ day of ________________________, 20_____, the above named ____________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ to me known to be the person _____ who executed the foregoing instrument and acknowledged the same.

____________________________________________________________________

* __________________________________________________________________

Notary Public, _____________________________________________ County, Wis.

My commission is permanent. (If not, state expiration date:

___________________________________, 20_____.)

No guidelines are available for this form at this time.