Acknowledgment

[Pages:1]State of Rhode Island County of ________________

Acknowledgment

On this ______ day of________________, 20_____, before me, the undersigned notary public, personally appeared _____________________________________________________________________________________________ (name of document signer) and proved to me, through satisfactory evidence of identification, to be the person whose name is signed on the attached document, and who acknowledged that they signed the document voluntarily for its stated purpose.

______________________________________ Notary Public Notary Public Notary ID # My commission expires

Loose Certificate Acknowledgment This notarial certificate is attached to a _________________________________ (title of document), dated _____________________, of ______ pages.

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