Notarial Certificate
(Witness Signatures)
STATE OF STATE COUNTY OF COUNTY On Date Instrument was Signed in the Presence of the Notary Public (ie. July 1, 2000) before me, Full Name of Notary Taking Sworn Statement, personally appeared Full Name of 1st Person Making Sworn Statement and Full Name of 2nd Person Making Sworn Statement, personally known to me (or proved to me on the basis of satisfactory evidence) to be the persons whose names are subscribed to the within instrument and acknowledged to me that they executed the same in their authorized capacity, and that by their signature on the instrument the persons executed the instrument. WITNESS my hand and official seal.
Signature