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WITNESS CERTIFICATION <br />Witness Signature <br /> <br />Witness Printed Name <br /> <br />State of Indiana, St. Joseph County <br /> <br />Before me, A Notary Public personally appeared , being known <br />or proved to me to be the person whose name is subscribed as a witness to the pregoing <br />instrument, who, being duly sworn by me, deposes and says that the foregoing instrument was <br />executed and delivered by , in the foregoing subscribing <br />witness’ presence. <br />Witness my hand and notarial Seal this day of 20 . <br />Signature: <br />Printed Name: ,Notary Public <br />Residing in <br />Commission Expires: <br />