MS Acknowledgment-Representative Capacity 1

STATE OF _________________________

COUNTY OF _______________________

Personally appeared, before me, the undersigned authority in and for the said county and state, on this ________ day of ________________ 20 _____, within my jurisdiction, the within named ___________________________________________, who acknowledged that (he)(she) ________________________________________ of ________________________________________ and that in said representative capacity (he)(she) executed the above and foregoing instrument, after first having been duly authorized so to do.



My Commission expires:


(Affix official seal, if applicable)

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