I. Introduction

This Notary Acknowledgment of Representative Capacity ("Acknowledgment") is made and entered into as of [Date], by and between:

• Grantor:

  [Your Company Name], an organized and existing under the laws of [Your State], with its principal place of business located at [Your Company Address] ("Grantor").

• Representative:

  [Representative's Name], an individual acting on behalf of [Representative's Company Name], a [Representative's Company Type] organized and existing under the laws of [Representative's State], with its principal place of business located at [Representative's Company Address] ("Representative").

II. Purpose

The primary objective of this Acknowledgment is to formally authenticate and attest that the individual or entity acting as the Representative in this matter has been granted the necessary authority. Furthermore, this authority grants the Representative the ability to carry out actions, take decisions, and perform other necessary tasks about the transaction which has been comprehensively detailed and described within this document, all on behalf of the Grantor.

III. Representation

The Grantor hereby represents and warrants that:

1. The Representative identified above is duly authorized to represent the Grantor.

2. The Representative has full power and authority to execute and deliver any documents, agreements, or instruments on behalf of the Grantor.

IV. Acknowledgment

The Grantor acknowledges that:

1. The Representative has been duly appointed and authorized to act on behalf of the Grantor in the matters described herein.

2. The Grantor accepts full responsibility for the actions and representations made by the Representative in connection with the transaction.

V. Notary Acknowledgment

In witness whereof, the undersigned Grantor and Representative have executed this Notary Acknowledgment of Representative Capacity as of the date first above written.

Grantor:

[Your Company Name]

Representative:

[Representative's Name]

VI. Notary Public

State of [State]

On this               day of [Month, Year], before me, a Notary Public in and for said County and State, personally appeared [Your Name], known to me (or proved to me on the oath of [Name of Proof]to be the person whose name is subscribed to the foregoing instrument, and acknowledged that [he/she/they] executed the same for the purposes therein contained.

Witness my hand and official seal.

[Notary Public Name]
My Commission Expires:              

[Seal]

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