Connecticut Notary Acknowledgment Form



CONNECTICUT NOTARY ACKNOWLEDGMENTState of ConnecticutCounty of _____________ss.___________ (Town/City)On this the ___ day of ________, 20___, before me, _______________ (name of notary), the undersigned officer, personally appeared _______________ (name of individual or individuals), known to me (or satisfactorily proven) to be the person(s) whose name(s) ______ (is or are) subscribed to the within instrument and acknowledged that _____ (he, she or they) executed the same for the purposes therein contained. In witness whereof I hereunto set my hand. ______________________(Signature of Notary Public)Date Commission Expires: ________________________________________(Printed Name of Notary) ................
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