Incumbency Certificate

I, {name}, hereby certify that I am the {position} of {company}, located at

{address}, in the state of {state}.

Furthermore, I attest that the following persons are the officers of {company} as
of {date}, and that the signatures presented after their names and titles are their
true and genuine signatures.

Name Title Signature

Signed this {date} day of {month}, {year}.

Printed Name Signature