STATE OF _____________
County of _______________
On this __________day of _______, 20_____, before me a Notary Public personally appeared A B, to me personally known, who, being by me duly sworn did say that he is the president (or other officer of the corporation), of (describing the corporation), and that in behalf of said corporation by authority of its board of directors, and said A B acknowledged said instrument to be the free act and deed of said corporation and that the corporation has no seal.
In Testimony Whereof, I have hereunto set my hand and affixed my official seal the day and year last above written.
Notary Public: _________________________
My Commission Expires: ________________
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