PROOF OF EXECUTION BY A SUBSCRIBING WITNESS
State of
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County of
On
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day of
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2007
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, before me, the undersigned, a Notary Public for the state, personally appeared
(subscribing witness's name),
personally known to me
proved to me on the oath of credible witness
personally known to me
proved to me on the oath of [credible witness's name], who is personally known to me
to be the person whose name is subscribed to the within instrument, as a witness thereto, who, being by me duly sworn, deposed and said that
Select One
he
she
was present and
Select One
saw
heard
(
Select One
name of principal
names of principals
), the same
person(s) person persons described in and whose
names(s) is/are name is names are subscribed to the within and annexed
instrument in
his/her/their
Select one
his
her
their
authorized
capacity(ies) as (a) party(ies) capacity as a party capacity as parties
thereto, execute or
acknowledge executing the same, and that said affiant subscribed
Select one
his
her
name to the
within instrument as a witness at the request of
______________
(
name[s] of principal[s] name of principal names of principals ).
WITNESS my hand and official seal.
Signature _______________________
NOTARY PUBLIC SEAL