Professional Documents
Culture Documents
BEFORE ME, this ____ day of ____, 2___ in the City of _______, personally appeared:
known to me to be the same person who executed the foregoing instrument, and acknowledged that the
same are their free act and deed.
This instrument, consisting of _____ pages, including the page on which this acknowledgment is
written, has been signed on the left margin of each and every page thereof by _______________ and
_______________ and their witnesses, and sealed with my notarial seal.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial seal on the date
and place above written.