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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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� CALIFURNIA ALL-PURPOSE <br /> CERTIFICATE OF ACKNOWLEDGMENT <br /> State of California <br /> County of �,��-�.,�1��f �F=; <br /> � f Q 1 , <br /> On r� 13 ��Iu before me, ��� �1a�J � �CZ�C-�- V�1 v� �. 1 ti�� l ,C , <br /> (Here inseR name and title of the officer) <br /> \_. ` <br /> personally appeared �{ �z..; S�' 7 av �, e -J o l^�i S;�� , <br /> who proved to me on the basis of satisfactory evidence to be the person(g)whose name(s) is/,�e subscribed ta <br /> the within instrument and acknowledged to me that t�e/she/t� executed the same in t�/her/� authorized <br /> capacity(�s), and that by l�s/her/tk�r signature(�)on the instrument the person(�), or the entity upon behalf of <br /> which the person(�acted,executed the instrument. <br /> I certify under PENALTY OF PERNRY under the laws of the State of California that the foregoing paragraph <br /> is true and correct. �i�� <br /> i1'fPHAN1E fARMER <br /> � Canmi�lon#� 17�6�6A <br /> WITNESS my hand and official seal. � Notary Public -CaNtorrHa ;� <br /> `y toi Anp�ltt counfy <br /> Carm. Od 7 2Q11 <br /> (Notary Seal) <br /> Signature Notary Pub ic <br /> �� o, c1 � �f- �,5 � ' <br /> ADDITIONAL OPTIONAL INFORMATION <br /> 1NSTRUCTIONS FOR COMPLETING THIS FORM <br /> Arry aclrnowledgment completed in California nsust contain verbiage e.xactly as <br /> DESCRIPTION OF THE ATTACHED DOCUMENT appears above in the notary secdon or a separate acknowledgment jorm must be <br /> properly completed and attached to that document. The only exceplion is rf a <br /> (�� � C, ��} � ��� docwnent is to be recorded outside ojCalifornia.In such inslances,any alternatrve <br /> �� (Tide or description of attached document) acknowledgment verbiage as may be pri»ted on such a document so long as the <br /> verbiage does no1 require the notary to do somerhing tha[is illegal for a notary in <br /> � 3U � California(i.e. certifying the aurhorized capacity of the signer). Please check the <br /> � document carejully jor proper notarial wording and atrach this form ijrequireci <br /> (Title or descrippon of attached document continued) <br /> Number of Pa es� DoCument Da S` 13 �v i� ' State and County information must be the Stau and Counry where the document <br /> g signer(s)porsonally appeared before the notary public for acknowledgment <br /> • Date of notarization must be the date that the signer(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 appears within his or her <br /> commission followed by a comma and then your title(notary public). <br /> • Print the name(s) of document signer(s) who personally appear at the time of <br /> notarization. <br /> CAPACITY CLAIMED BY THE SIGNER • Indicate thc correct singular or pturai forms by crossing off incorrect forms(i.e. <br /> ❑ Individual(s) he/she/d�ep;is/aFa)or circling the correct forms.Failure to correcdy indicate this <br /> information may lead to rejcction of document recording. <br /> ❑ COipoi3te OffiCeC . The notary seal impression must be clear and photographically reproducible. <br /> Impression rnust not cover text or lines.If seal impression smudges,re-seal if a <br /> (Title) sufficient area permits,otherwise complete a different acknowledgment form. <br /> � Partner(s) • Signaturo of thc notary public rnust match the signature on file with the office of <br /> thc counry clerk <br /> ❑ Attomey-in-Fact . Additional information is not required but could help to ensure this <br /> � TR]Stee(S) acknowledgment is not misused or attached to a different document. <br /> ❑ Other Indicate tiUe or rype of attached dceument,number of pages and date. <br /> . Indicate the capacity claimed by the signer.If the claimed capacity is a <br /> cotporate officer,indicate the title(i.e.CEO,CFO,Secretary). <br /> • Securely attach this document to the signed document <br /> 2008 Version CAPA v12.10A7 800-873-9865 wwwNotacyClasses.com <br />
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