Notary Acknowledgment
This Notary Acknowledgment is prepared in accordance with the laws of the State of [State Name].
State of [State Name]
County of [County Name]
On this _____ day of __________, 20___, before me, a Notary Public, personally appeared:
- Name: ___________________________________
- Address: _________________________________
- City, State, Zip: ________________________
Who is known to me (or proved to me on the basis of satisfactory evidence) to be the individual whose name is subscribed to the within instrument, and acknowledged to me that he/she executed the same in his/her capacity, and that by his/her signature on the instrument, the individual, or the person upon behalf of which the individual acted, executed the instrument.
In witness whereof, I hereunto set my hand and official seal.
_____________________________
Signature of Notary Public
My commission expires: ____________
Seal:
________________________________________________