IA Acknowledgment-Individual 1

STATE OF _________________,

§§

__________________ COUNTY,

On this ________ day of ___________, 20_____, before me, the undersigned, a Notary Public in and for said State, personally appeared _________________

_________________________________________________________________

_________________________________________________________________ to me known to be the identical persons named in and who executed the foregoing instrument and acknowledged that they executed the same as their voluntary act and deed.

__________________________________

Notary Public

No guidelines are available for this form at this time.