Acknowledgment-Individual in Representative Capacity 1
STATE OF ________________
COUNTY OF ______________
I, ____________________________________, a Notary Public in and for said County in said State, hereby certify that ___________________________, whose name as ____________________________, is signed to the foregoing conveyance and who is known to me, acknowledged before me on this day that, being informed of the contents of the conveyance, he, in his capacity as such ____________________, executed the same voluntarily on the day the same bears date.
Given under my hand this the _____ day of _________, 20______.
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