ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached and not the truthfulness accuracy or validity of that document. State of California County of __________________ On________________________________ before me, Notary Public, Personally appeared_____________________________________________________________, who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. I certify under the PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. _____________________________________ Notary public Signature (Notary Seal) OPTIONAL INFORMATION

Document Identification: Name or Type ____________________________________ ________________________________________________ Date of Document :___________ # of Pages_________ Document in a Foreign Language Yes / No Language ______________________________________ Identification _____________________________________ ________________________________________________

Instructions Any acknowledgment completed in California must contain verbiage exactly as it appears above in the notary section or a separate acknowledgment form must be attached to the document. The only exception is if a document is to be recorded outside of California in another state or jurisdiction of the United States, provided the form does not require the notary public to determine or certify that the signer holds a particular representative capacity or to make other determinations and certifications not allowed by California law..