Free Notary Statement

State of [State]
County of [County]
Date: February 9, 2050
To Whom It May Concern:
I, [Your Name], a notary public in and for the State of [State], do hereby certify that on this day, February 9, 2050, Jewell Ward, personally appeared before me and, being duly sworn, did execute the attached affidavit/declaration.
Affiant/Declarant Information:
Name: Jewell Ward
Address: Atlanta, GA 30301
Identification: Driver's License
Affidavit/Declaration Statement:
I further certify that Jewell Ward acknowledged to me that the statements made in the attached affidavit/declaration were true and correct to the best of their knowledge and belief. Jewell Ward appeared before me voluntarily and signed the document in my presence.
Notary Information:
Name of Notary: [Your Name]
Commission Number: 710659
Commission Expiration Date: March 9, 2055
Signature and Seal:
In witness whereof, I have hereunto set my hand and affixed my official notarial seal at [City], [State], on this February 9, 2050.
[Your Name]
Notarial Seal/Stamp: [Seal/Stamp Here]
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