NH Acknowledgment-Corporation 1

State of _______________________

County of _____________________

On this the _______ day of ________, 20 _______, before me, ____________________, the undersigned officer, personally appeared _____________________, who acknowledged himself to be the ______________________ of __________________, a corporation, and that he, as such _________________________, being authorized so to do, executed the foregoing instrument for the purposes therein contained, by signing the name of the corporation by himself as _________________________________.

In witness whereof I hereunto set my hand and official seal.



Title of Officer

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