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WITNESSETH:
WHEREAS, the Beneficiary has signified his/ her acceptance of the same;
WHEREFORE, the parties hereto have agreed to the following terms and
conditions:
____________________ ___________
Beneficiary’s Name Date
___________________ ____________________
ACKNOWLEDGMENT
known to me and to me known to be the same persons who executed the foregoing
instrument and they acknowledged to me that the same is their free and voluntary act
and deed as well as that of the corporations herein represented.
WITNESS MY HAND AND SEAL on the date and at the place first written
above.
Doc. No. ;
Page No. ;
Book No. ;
Series of 2015.