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650 Big Island - PID: 22-117-23-31-0035/0028
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Last modified
8/22/2023 4:12:11 PM
Creation date
10/7/2015 10:43:16 AM
Metadata
Fields
Template:
x Address Old
House Number
650
Street Name
Big Island
Address
650 Big Island
Document Type
Land Use
PIN
2211723310035
Supplemental fields
ProcessedPID
Updated
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` CALIFORNIA ALL-PURPOSE <br /> CERTIFICATE OF ACKNOWLEDGMENT <br /> State of California <br /> County of � �1 � F <br /> On ���� 13 �01 b before me, ��E' ��� < ��.�F� J�4,o�a,2 �U � L , <br /> (Here insert name and title of the officer) <br /> '� <br /> personally appeared �`{ (Z;S�; !L! /� � ����nf�! 5��� � <br /> who proved to me on the basis of satisfactory evidence to be the person(,�)whose name(�) is/�e subscribed to <br /> the within instrument and acknowledged to me that C�e/she/t�y executed the same in k�is/her/t#�ir authorized <br /> capacity(i�s), and that by t�s/her/t�ir signature(�)on the instrument the person(�), or the entity upon behalf of <br /> which the person(a)acted, executed the instrument. <br /> I certify under PENALTY OF PERNRY under the laws of the State of Catifornia that the foregoing paragraph <br /> is true and correct. <br /> BTEPHANIE FARMER <br /> Commlulon#� 176876� <br /> WITNESS my hand and official seal. � trotary h,o��c-conrorroo � <br /> Co� Mp�1�s CouMy <br /> Corm�.6 tOd7�it <br /> (Notary seal) <br /> Signature of otary Public ���' c 1 ,�` �S�� <br /> ! <br /> ADDITIONAL OPTIONAL INFORMATION <br /> INSTRUCTIONS FOR COMPLETING THIS FORM <br /> A�ry acknowledgment completed in Calijornia must conlain verbiage exactly as <br /> DESCRIPTION OF THE ATTACHED DOCUMENT appears above in 1he no�ary section or a separate acknowledgment jorm must be <br /> properly completed and attached to that document. The only exception is ij a <br /> � � -_(,_ �'1 �, M �E.�G document is to be recorded outsrde of Cal+fornia ln such instances,any alternative <br /> � � acknawledgment ver6iage ar may be prinled on sncir a document so long as the <br /> �� (T� e or description of attached document) verbiage does not require the notary!o do something that is illegal for a notary in <br /> � � �"� � Caljfornia(i.e. certifying rhe aulhorized capacity ojthe signer). Please check the <br /> (Title or description of adached dceument continued) document carefully jor proper notarial wording mid atrach this form if required. <br /> 5 13 av��J • State and County information must bc the State and County where the document <br /> Number of Pages� Document Date signer(s)personally appeared before the notary public for acknowledgment <br /> � Date of notarization must bt the dau that the signcr(s)personally appeared which <br /> must also be the same date the acknowledgment is completed. <br /> (Additional information) • The notary public must print his or her name as it appeazs within his or her <br /> commission followed by a comma and then your dtle(notary public). <br /> • Print the name(s) of document signer(s)who personally appear at the time of <br /> notari7alion. <br /> CAPACITY CLAIMED BY THE SIGNER • Indicate thc cottect singular or plura(forms by crossing off incorrect forms(i.e. <br /> 0 Individual(s} #+e/she/tHe};-is/ara)or circling the correct forms.Failure to correcdy indicate this <br /> information may lead to rejection of document recording. <br /> ❑ COrpoi3te Off1CeC . The notary seal impression must be cleaz and photographically reproducible. <br /> Impression must not cover text or lines.If seal impression smudges,re-seal if a <br /> (Title) su�cient azea permits,otherwise complete a different acknowledgment form. <br /> I� Partner(s) • Signaturo of the notary public must match the signature on file with the office of <br /> the counry clerk. <br /> ❑ Attomey-in-Fact . Additional information is not required but could help to ensure this <br /> ❑ T�ustee(S) acknowledgment is not misused or suached to a different document. <br /> ❑ Other . Indicate tide or type of attached document,number of pages and date. <br /> . Indicate the capacity claimed by the signer.If the claimed capacity is a <br /> corporate ofticer,indicate the title(i.e.CEO,CFO,Secretary}. <br /> • Securely attach this document to the signed document <br /> 2008 Version CAPA v12.10.07 800-873-9865 wwwNotaeyClasses.com <br />
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