State of Washington County of .......... I certify that I know or have satisfactory evidence that (name of person) is the person who appeared before me, and said person acknowledged that (he/she) signed this instrument, on oath stated that (he/she) was authorized to execute the instrument and acknowledged it as the WASH. REV. CODE § (type of authority, e.g., officer, trustee, etc.) of (name of party on behalf of whom WA Representative Yes instrument was executed) to be the free and voluntary act of such party for the uses and (West 2012) purposes mentioned in the instrument. Dated: ............... ___________________________________ (Signature) (Seal or stamp) ___________________________________ Title My appointment expires__________________ State of Washington County of .......... Certifying I certify that the event or act described in this document has occurred or been performed. Occurrence of an WASH. REV. CODE § Dated: ............... WA or Yes (West 2012) ___________________________________ Performance of an (Signature) Act (Seal or stamp) ___________________________________ Title My appointment expires__________________
WA Representative State of Washington County of .......... I certify that I know or have satisfactory evidence that (name of person) is the person who appeared before me, and said person acknowledged that (he/she) signed this instrument, on oath stated that (he/she) was authorized to execute the instrument and acknowledged it as the (type of authority, e.g., officer, trustee, etc.) of (name of party on behalf of whom instrument was executed) to be the free and voluntary act of such party for the uses and purposes mentioned in the instrument. Dated: ............... ___________________________________ (Signature) (Seal or stamp) ___________________________________ Title My appointment expires__________________ WASH. REV. CODE § (West 2012) Yes WA Certifying Occurrence of an or Performance of an Act State of Washington County of .......... I certify that the event or act described in this document has occurred or been performed. Dated: ............... ___________________________________ (Signature) (Seal or stamp) ___________________________________ Title My appointment expires__________________ WASH. REV. CODE § (West 2012) Yes
Notary-Acknowledgment-Matrix-2013.docx