Fillable California Notary Acknowledgment Form

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California Notary Acknowledgment Form

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CALIFORNIA NOTARY ACKNOWLEDGMENT
State of California
County of _____________
On _______________ before me, ________________ (name and title of officer),
personally appeared ________________, 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 she/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 California
that the foregoing paragraph is true and correct.
WITNESS my hand and official seal.
Signature _______________ (Seal)
A notary public or other officer completing this
certificate verifies only the identity of the
individual who signed the document to which this
certificate is attached, and not the truthfulness,
accuracy, or validity of that document.
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California Notary Acknowledgment Form

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Completed 1 January 2022

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