VA Acknowledgment-Individual 1

State of Virginia,

City/County of ___________________, to-wit:

I, _______________________, a notary public of the City/County of ______________, State of Virginia, do hereby certify that ____________________, whose name is signed to the writing above bearing date on the _____ day of _______________, 20_____, has acknowledged the same before me in my State aforesaid.

Given under my hand this ____ day of _______________, 20_____.

[Seal]

________________________________________

Notary Public

My Commission expires:

No guidelines are available for this form at this time.