Laserfiche WebLink
CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE § 8202 <br />® See Attached Document (Notary to cross out lines 1-6 below) <br />❑ See Statement Below (Lines 1-6 to be completed only by document signer[s], not Notary) <br />Signature of Document Signer No. 1 Signature of Document Signer No. 2 (if any) <br />A notary public or other officer completing this certificate verifies only the identity of the individual who signed the <br />document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. <br />State of California <br />County of ..._ <br />MAR IA LUISA AGUILERA <br />r x NotaryPublic- California � <br />*p� Los Angeles County <br />Commission : 2216404 <br />My Comm. Expires Oct 28, 2021 <br />Subscribed and sworn <br />on this day of <br />by Date <br />to (or affirmed) before me <br />20_t�, <br />Month Year <br />OLD : w.... _ .. m._.. <br />(and (2)m <br />Name(,) of SignerX) <br />proved to me on the basis of satisfactory evidence <br />to be the person(,$) who appeared before me. <br />F <br />Signature of Notary Pic <br />Seal <br />Place Notary Seal Above <br />OPTIONAL <br />Though this section is optional, completing this information can deter alteration of the document or <br />fraudulent reattachment of this form to an unintended document. <br />Description of Attached Document <br />Title or Type of Document: mmmmwwwwwww , _ ......IT --Document Date: <br />Number of Pages: Signer(s) Other Than Named Above:....... <br />02014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY (1-800-876-6827) Item #5910 <br />