NOTARY

State of [State]

County of [County]

On this [Day] of [Month], [Year], before me, [Notary Public Name], a Notary Public in and for said state, personally appeared [Your Name], 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 PENALTY OF PERJURY under the laws of the State of [State] that the foregoing paragraph is true and correct.

WITNESS my hand and official seal.

[Notary Public Name], Notary Public

My Commission Expires: [Expiration Date]

Notary Registration Number: [Registration Number]

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NOTARIAL SEAL

[Place for Notarial Seal/Stamp]