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Fillable Printable Conventional Deed of Trust - California

Fillable Printable Conventional Deed of Trust - California

Conventional Deed of Trust - California

Conventional Deed of Trust - California

Conventional Deed of Trust (MERS) Page 1 of 8
05/15/06
WHEN RECORDED RETURN TO:
(For Recorder’s Use Only)
NOTE TO BORROWER:
THIS DEED OF TRUST CONTAINS
PROVISIONS RESTRICTI N G ASS UM PT I ONS
DEED OF TRUST
Loan No.
Min No.
DEFINITIONS
(A) “Lender” is
Lender is a organized and existing under the laws of .
Lender’s address is .
The word “Lender” includes the present Lender, or any future owner or holder, including pledgee, of the
indebtedness s ecured hereby.
(B) “MERS” is Mortgage Electronic Registration Systems, Inc. MERS is a separate corporation that is acting
solely as a nominee for Lender and Lender’s successors and assigns. MERS is the beneficiary under this Deed of
Trust. MERS is organized and existing under the laws of Delaware, and has an address and telephone number of
P.O. Box 2026, Flint, MI 48501-2026, tel. (888) 679-MERS.
This Deed of Trust is made on , , by (the
“Borrower”) to (the “Trustee”), whose business address is
in favor of MERS (solely as nominee for Lender
and Lender’s successors and assigns) and the successors and assigns of MERS.
1. BORROWER, IN CONSIDERATION OF THE INDEBTEDNESS HEREIN RECITED AND
THE TRUST HEREIN CREATED, HEREBY IRREVOCABLY GRANTS, TRANSFERS AND ASSIGNS to
Trustee in trust, with power of sale and right of entry and possession, all of Borrower’s right, title and interest now
held or hereafter acquired in and to the following: (a) all of the certain real prop erty (the “Property”) located in the
County of , State of California, described below or in Exhibit “A” attached hereto
and made a part hereof by this reference:
[This property is/is not (strike inappropriate reference) in a “Targeted Area” as described in the California
Housing Finance Agency Program Manual at the date of recording this Deed of Trust]
Conventional Deed of Trust (MERS) Page 2 of 8
05/15/06
Which property address is which
is incorporated herein by this reference; and (b) all buildings, improvements and fixtures now or hereafter erected
thereon, and all appurtenances, easements, and articles of property now or hereafter affixed to, placed upon or used
in connection with the Property, together with all additions to, substitutions for, changes in or replacements of the
whole or any part of said articles of property (all of which real and personal property are sometimes referred to as
the “Property”); all of which are hereby pledged and assigned, transferred, and set over unto Trustee, and for
purposes of this Deed of Trust declared to be part of the realty; provided, however, that furniture and other personal
property of Borrower now or hereafter situated on said real property are not intended to be included as part of the
Property. Borrower understan ds and agrees that MERS h olds only legal t itle to the interests g ranted by Borrower in
this Deed of Trust, but, if necessary to comply with law or custom, MERS (as nominee for Lender and Lender's
successors and assigns) has the right to exercise any and all of those interests, including, but not limited to, the right
to foreclose and sell the property, and to take any action required of Lender including, but not limited to, releasing
and canceling this Deed of Trust.
TO SECURE to Lender the repayment of the indebtedness evidenced by Borrower’s Promissory Note
dated , (“Note”), in the pr incipal sum of ________________________
_____________________________________________________________________________________________
_____________ ___ ______ ___ ___ _____ Dollars ($ ) with in tere st thereo n, pr ovid ing for mon thly
installments of principal and interest with the balance of the indebtedness, if not sooner paid, due and payable on
______________________ , 20 ________; the payment of all other sums, with interest thereon, advanced in
accordance herewith to protect the security of this Deed of Trust; and the performance of the covenants and
agreements of Borrower herein contained.
BORROWER AND LENDER COVENANT AND AGREE A S FOLLOWS:
1. Borrower’s Estate. That Borrower is lawfully seized of the estate hereby conveyed and has the
right to grant and convey the property, that the property is unencumbered, and that Borrower will warrant and
defend generally the title to the Property against all claims and demands, subject to any declarations, easements or
restrictions listed in a schedule of exceptions to coverage in any title insurance policy insuring Lender’s interest in
the Property.
2. Payment of Principal and Interest. Borrower will promptly pay when due the principal of and
interest on the indebtedness evidenced by the Note and late charges as provided by the Note.
3. Tax Covenants. Borrower is aware that the Note bears an interest rate below market interest rates
because Lender intends to transfer the loan evidenced by the Note to the California Housing Finance Agency, a
public instrumentality and political subdivision of the State of California (“Agency”). The Agency’s acquisition of
said loan and Note will be with fund s from the sale of tax exempt municipal securities. Therefore, upon transfer of
the Note to the Agency, the Note, the indebtedness evidenced thereby, the Property and this Deed of Trust shall
become subject to the applicable Internal Revenue Code Sections (“Tax Code”).
Borrower also understands that the Agency and the Tax Code require that Borrowers of funds originated by
the sale of said tax exempt municipal securities, and the property securing said loans, meet certain specific criteria.
Borrower acknowledges that Lender has explained the requirements of the Tax Code and the requirements of the
Conventional Deed of Trust (MERS) Page 3 of 8
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Agency, and that Borrower has made certain representations regarding Borrower’s, and the Property’s compliance
therewith. (See paragraph number 21 requirements which are also applicable to Borrower.) Borrower covenants
that said representations were and are true and correct. UPON DISCOVERY BY LENDER OR THE AGENCY OF
ANY MISSTATEMENT MADE BY BORROW ER PURSUANT TO SAID REPRESENTATIONS, BORROWER
MAY BE SUBJECT TO THE FOLLOWING ACTIONS:
(A) Acceleration of the indebtedness and th e exercise of the power of sale as stated in paragraph 22 of
this Deed of Trust; or
(B) Upon the sale or other disposition of the Note by the Agency, the interest on the unpaid principal
balance may be adjusted to the then current market rate permitted by law. Such interest rate
adjustment will be effective immediately upon the sale or disposition of the Note by the Agency.
4. Funds for Taxes and Insurance. Subject to applicable law, Lender shall establish an impound
account (“Funds”) on behalf of Borrower to pay taxes and assessments (which may attain priority over this Deed of
Trust), hazard insurance premiums, and mortgage insurance premiums (hereinafter collectively referred to as
“Charges”). This account will be funded by Borrower with monthly payments due to Lender on the same day the
monthly installment of principal and interest is payable under the Note, until such Note is paid in full. The monthly
impound amount shall be the sum equal to one-twelfth of the estimated total annual amounts anticipated to be
payable for the above listed charges. The Lender from time to time may adjust such monthly impound amounts due
on the basis of actual assessments and bills, and reasonable estimates thereof.
The funds shall be held in an institution the deposits or accounts of which are insured by the Federal
Deposit Insurance Corporation (“FDIC”). Lender shall apply the Funds to pay said taxes, assessments, and
insurance premiums. Lender may not charge Borrower for so holding and applying the Funds, analyzing said
account or verifying and compiling said assessments and bills. Interest on Funds as required by law will be paid to
Borrower.
On an annual basis (i.e. the “Account Computation Year”), Lender shall analyze the funds to (i) determine
the appropriate target balance (i.e. the estimated month end balance in the impound account that is sufficient to
cover the remaining anticipated disbursements from impound Account in the Computation Year), (ii) compute the
Borrower’s monthly payments for the next Account Computation Year which will be necessary to cover estimated
charges, and (iii) determine whether shortages, deficiencies or surpluses exist.
An annual impound account statement shall be provided to the Borrower within 30 days of completion of
the analysis of the Funds for the Account Computation Year. If it is determined that there is a surplus greater than
or equal to $50, and so long as Borrower is not in arrears on any payment due to Lender, the surplus amount shall be
refunded to Borrower within 30 days. If it is determined that there is a shortage or deficiency of Funds in an amount
less than one month’s impound payment, the Borrower shall pay to the Lender the amount necessary to make up the
deficiency within 30 days from the date a notice is mailed by the Lender to the Borrower requesting payment
thereof. If the shortage or deficiency is an amount equal to or in excess of one month’s impound payment, the
Borrower shall repay the deficient amount in equal monthly payments over the next 12 month period.
The Funds are pledged as additional security for the sums secured by this Deed of Trust. Upon payment in
full of all sums secured by this Deed of Trust, Lender will p romp tly refund to Borrower any funds held b y Lender.
If the property is sold or the property is otherwise acquired by the Lender, Lender will apply, no later than
immediately prior to the sale of the Property or its acquisition by Lender, any Funds held by Lender at the time of
application, as a credit against sums secured by thi s Deed of Trust.
5. Application of Payments. Unless applicable law provides otherwise, all payments received by
Lender under the Note and payments of Funds will be applied by Lend er first in payment of taxes, assessments and
insurance premiums, then to interest payable on the Note, and then to the principa l of the Note.
6. Junior Encumbrances. Any subsequent encumbrancer of the Property is hereby notified that
upon exercise of any power of sale or foreclosure by such encumbrancer, such encumbrancer shall take title to the
Property subject to this Deed of Trust, and more specifically, subject to par agraph 21 of this De ed of Trust r equir ing
that all successors in interest to Borrower (including successors in interest through involuntary sale) meet certain
eligibility requirements of the Agency.
7. Charges; Lien. Borrower will pay all taxes, assessments and other charges, fines and impositions
attributable to the Property which may attain a priority over this Deed of Trust, in the manner provided above or, if
not required to be paid in such manner, by Borrower making payment, when due, directly to the payee thereof.
Conventional Deed of Trust (MERS) Page 4 of 8
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Borrower will promptly furnish to Lender all notices of amounts due under this paragraph, and in the event
Borrower makes payment directly. Borrower will promptly furnish to Lender receipts evidencing such payments.
Borrower will promptly discharge any Lien which has priority over this Deed of Trust; provided, that Borrower will
not be required to discharge any such lien so long as Borrower will agree in writing to the payment of the obligation
secured by such lien in a manner acceptable to Lender, or will in good faith contest such lien by, or defend
enforcement of such lien in, leg al proceedings which operated to pr event the enforcement of the lien or forfeiture of
the Property or any part thereof.
8. Hazard Insurance. Borrower will keep the improvements now existing or hereafter erected on the
Property Insured in such amounts and for such periods as Lender may require, which amounts shall be the greater of
(1) the outstanding principal balance of the Note, (2) the amount required by the mortgage guaranty insurance
carrier, (3) the amount, in Lender’s determination, necessary to prevent Borrower from becoming a co-insurer, or (4)
the amount of the replacement cost of the Property.
The insurance carrier providing this insurance shall be licensed to do business in th e State of California and
be chosen by Borrower subject to approval by Lender; provided, that such approval will not be unreasonably
withheld. All premiums on insurance policies will be paid in the manner provided in paragr aph 4 above.
All insurance policies and renewals thereof will be in a form acceptable to Lender and will include a
standard mortgage clause with standard mortgagee loss payee endorsement e.g. number 438BFU in favor of and in a
form acceptable to Lender. Lender will have the right to hold the policies and renewals thereof, and Borrower will
promptly furnish to Lender all renewal notices and all receipts of paid premiums. In the event of loss, Borrower
shall give prompt notice to the insurance carrier and Lender. Lender may make proof of loss if not made promptly
by Borrower.
Unless Lender and Borrower otherwise agree in writing, insurance proceeds will be applied to restoration
or repair of the Property damaged, provided such restoration or repair is economically feasible and the security of
this Deed of Trust is not thereby impaired. If such restoration or repair is not economically feasible or if the security
of this Deed of Trust would be impaired, the insurance proceeds shall be applied to the sums secured by this Deed of
Trust, with the excess, if any, paid to Borrower. If the Property is abandoned by Borrower, or if Borrower fails to
respond to Lender within thirty (30) days from the date notice is mailed by Lender to Borrower that the insurance
carrier offers to settle a claim for insurance benefits, Lender is authorized to collect and apply the insurance
proceeds at Lender’s option either to restoration or repair of the Property or to the sums secured by this Deed of
Trust.
Unless Lender and Borrower otherwise agree in writing, any such app lication of proceeds to principa l will
not extend or postpone the due date of the monthly installments referred to above or change the amount of such
installments. If the Property is acquired by Lender, all right, title and interest of Borrower in and to any insurance
policies and in and to the proceeds thereo f resulting from damage to th e Property prior to the sale or acqu isition will
pass to Lender to the extent of the sums secured by this Deed of Trust immediately p rior to such sale or acquisition.
9. Preservation and Maintenance of Property, Condominiums; Planned Unit Developments.
Borrower will keep the Property in good repair an d will not commit waste or permit impairment or deterioration of
the Property. If this Deed of trust is on a unit in a condominium or a planned unit development, Borrower will
perform all of Borrower’s obligations under the declaration or covenants creating or governing the condominium or
planned unit development, the by-laws and regulations of the condominium or planned unit development, and
constituent documents. Borrower will not, without Lender’s prior written consent, agree to the abandonment or
termination of the condominium or planned unit development, any change in the percentag e in terest of owners in the
common areas and facilities of the condominium or planned unit development, or the termination of professional
management, and assumption of self-management of the condominium or planned unit development. If a
condominium or planned unit development rider is executed by Borrower and recorded together with this Deed of
Trust, the covenants and agreements of such rider are incorporated herein by this reference.
10. Protection of Lender’s Security. If Borrower fails to perform the covenants and agreements
contained in this Deed of Trust, or if any action or proceeding is commenced which materially affects Lender’s
interest in the Property, including, but not limited to, eminent domain, insolvency, code enforcement, or
arrangements or proceedings involving bankrupt or decedent, then Lender at Lender’s option, upon notice to
Borrower, may make such appearances, disburse such sums and take such action as is necessary to protect Lender’s
interest, including, but not limited to, disbursement of reasonable attorney’s fees and entry upon the Property to
make repairs.
Conventional Deed of Trust (MERS) Page 5 of 8
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Any amounts disbursed by Lender pursuant to this paragraph, with interest thereon, will become additional
indebtedness of Borrower secured by this Deed of Trust. Unless Borrower and Lender agree to other terms of
payment, such amounts will be payable upon notice from Lender to Borrower requesting payment thereof, and will
bear interest from the date of disbursement at the rate payable from time to time on outstanding principal under the
Note unless payment of interest at such rate would be contrary to applicable law, in which event such amounts will
bear interest at the highest rate permissible under applicable law. Nothing contained in this paragraph will require
Lender to incur any expense or take action hereunder.
11. Inspection. Lender may make or cause to be made reason able entries upon and inspections of the
Property, provided that Lender will give Borrower reasonable notice of inspection.
12. Condemnation. The proceeds of any award or claim for damages, direct or consequential, in
connection with any condemnation or other taking of the Property, or part thereof, or for conveyance in lieu of
condemnation, are hereby assigned and shall be paid to Lender.
In the event of a total taking of the Property, the proceeds will be applied to the sums secured by this Deed
of Trust, with the excess, if any, paid to the Borrower. In the event of a partial taking of the Property, unless
Borrower and Lender otherwise agree in writing, there will be applied to the sums secured by this Deed of Trust
such propor tion of th e proceeds as is equal to that proportion which th e amount of the sums secured by this Deed of
Trust immediately prior to the date of taking bears to the fair market value of the Property immediately prior to the
date of taking, with the balance of the proceeds paid to Borrower.
If the Property is abandoned by Borrower, or if, after notice by Lender to Borrower that the condemnor
offers to make an award or settle a claim for damages, Borrower fails to respond to Lender within thirty (30) days
after the date such notice is mailed , Lend er is auth orized to collect and apply the proceeds, at Lender’s option, either
to restoration or repair of the Property or to the sums secured by this Deed of Trust.
Unless Lender and Borrower otherwise agree in writing, any such app lication of proceeds to principa l will
not extend or postpone the due date of the monthly installments referred to the above or change the amount of such
installments.
13. Forbearance by Lender Not a Waiver. Any forbearance by Lender in exercising any right or
remedy will not be a waiver of the exercise of any su ch right or remedy. Neither the acceptance of a payment after
knowledge of a Borrower default, nor the procurement of insurance or the payment of taxes or other liens or charges
by Lender will be a waiver of Lender’s right to accelerate th e maturity of the indebtedness secured by this Deed of
Trust.
14. Remedies Cumulative. All remedies provided in this Deed of Trust are distinct and cu mulative to
any other right or remedy under this Deed of Trust or afforded by law or equity, and may be exercised concurrently,
independently or successively.
15. Successors and Assigns Bound. The covenants and agreements herein contained shall bind, and
the rights hereunder shall inure to, the respective successors and assigns of Lender and Borrower subject to the
provisions of this Deed of Trust.
16. Joint and Several Liability. All covenants and agreements of Borrower shall be joint and several.
17. Notice. Except for any notice required under applicable law to be given in another manner, (a)
any notice to Borrower provided fo r in this Deed of Trust will be given by certified mail, addressed to Borrower at
the Property address or such other address as Borrower may designate by notice to Lender as provided herein, and
(b) any notice to Lender will be given by certified mail, return receipt requested, to Lender’s ad dress stated above or
to such other ad dress as Lender may designate by notice to Borrower as provided above.
18. Governing Law. This Deed of Trust shall be governed by the laws of the State of California.
19. Severability. In the event that an y provision or clause of this Deed of Trust or the No te conflicts
with applicable law, such conflict will not affect other provisions of this Deed of Trust or the Note which can be
given effect without the conflicting provision, and to this end the provisions of the Deed of Trust and the Note are
declared to be severable.
Conventional Deed of Trust (MERS) Page 6 of 8
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20. Captions. The captions and headings in this Deed of Trust are for convenience only and are not
to be used to interpret or define the provisions hereof.
21. Transfer of Property; Assumptions. The PROPERTY WILL NOT BE TRANSFERABLE
WITHOUT WR ITTEN APPROVAL OF THE AGENCY.
Wherein Agency administered Funds continued to be used in financing the purchase of said property,
“Transfer” means any sale, assig nment or transfer, voluntary or invo luntary, or by operation of Law, of any interest
in this Property, including but not limited to a fee simple interest, a joint tenancy interest, a life estate, leasehold
interest, or an interest evidenced by a land contract by which possession of the Property is transferred and Borrower
retains title, whether or not any such transfer is made subject to this Deed of Trust. Any such transfer without the
Agency’s written approval is a “Prohibited Transfer”.
The Agency’s approval will not be given un less Borrower’s successor(s) in interest (“Purchaser”) meets all
of the following conditio ns:
(a) Purchaser occupies the residence at the Property address as Purchaser’s principal place of
residence within sixty (60) days after the date of transfer, and continues to so occupy the Property
until the Note is paid in full or purchaser properly transfers to a successor in interest meeting all of
the requirements of the Tax Code, and requirements of the Agency;
(b) Purchaser has not had an ownership interest in a principal residence at any time during the three
years preceding the date of transfer unless at the time of transfer the Agency gives written
approval that the Property is in a "Targeted Area” or this Deed of Trust indicates the Property was
in a “Targeted Area” at the time of recording this Deed of Trust;
(c) Purchaser has a household income within the income limits established at the time of transfer.
(d) Purchaser has purchased the Property at a purchase price within the price limits established.
(e) Purchaser’s indebtedness is eligible for mortgage guaranty insurance cover ing a loss of up to fifty
percent (50%) of the outstanding principal amount of the Note, issued by an issuer licensed to do
business in the State of California, and approved by the Agency;
(f) Purchaser meets all other conditions applicable to the Agency’s financing in effect at the time of
transfer including, but not limited to, the Agency’s loan underwriting standa rds; and
(g) Purchaser meets the conditions of the Tax Code and regulations thereunder, both as amended from
time to time.
If written approval of the Agency is not given for any transfer of the Property, the transfer will be a
“Prohibited Transfer” and Lender may, at Lender’s option, declare all the sums secured by this Deed of Trust to be
immediately due and payable. Lender will exercise this option by noticing Borrower of Lender’s decision pursuant
to paragraph 17 above. The notice must provide a period of not less than thirty (30) days from the date the notice is
mailed within which Borrower may pay the amounts due or cure the Prohibited Transfer by transferring to a
Purchaser meeting the above stated conditions. If Bo rrower fails to cure the Prohibited Transfer or pay the amounts
due within said period Lender may then invoke any remedies permitted by this Deed of Trust or California law,
including, but not limited to, the exercise of the power of sale as described in this Deed of Trust.
22. Acceleration; Remedies. Except as provided in paragraph 21 hereof, upon Borrower’s breach of
any covenant or agreement of Borrower in this Deed of Trust, including but not limited to the covenants to pay
when due any sums secured by this Deed of Trust, and the covenants as to the truth of representations made by
Borrower found in paragraph 3 above, Lender, prior to acceleration, will mail notice to Borrower specifying: (1) the
breach; (2) the action required to cure such breach; (3) a date, not less than thirty (30) days from the date the notice
is mailed to Borrower, by which such breach is to be cured; and (4) that failu re to cure such breach on or before the
date specified in the notice may result in acceleration of the sums secured by this Deed of Trust and sale of this
Property. The notice will also inform Borrower of Borrower’s right to reinstate after acceleration and the right to
bring a court action to assert the nonexistence of default or any other defense of Borrower to acceleration and sale.
If the breach is not cured on or before the date specified in the notice, Lender at Lender’s optio n may declare all of
the sums secured by this Deed of Trust to be immediately due and payable without further demand and ma y invoke
the power of sale and any other remedies permitted by California law. Lender will be entitled to collect all
reasonable costs and expenses incurred in pursuing the remedies provided in this paragraph, including, but not
limited to, reasonable attorney’s fees. If Lender invokes the power of sale, Lender will do so pursuant to the
provisions for notice of sale and sale foun d at California Civil Code Sections 29 24, et. Seq., as amended from time
to time.
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IF LENDER EXERCISES TH E POWER OF SALE, LENDER COVENANTS THAT ANY PURCHASER
THEREUNDER SHALL MEET THE CONDITIONS LISTED IN PARAGRAPH 21 FOR BORROWER’S
SUCCESSORS IN INTEREST.
23. Borrower’s Right to Reinstate. Notwithstanding Lender’s acceleration of the sums secured by
this Deed of Trust, Borrower will have the right to have any proceedings begun by Lender to enforce this Deed of
Trust discontinued at any time prior to five (5) days before the sale of the Property pursuant to the power of sale
contained in this Deed of Trust or at any time prior to entry of the judgement enforcing this Deed of Trust if: (a)
Borrower pays Lender all sums which would be then due under this Deed of Trust, and the Note, had no acceleration
occurred,; (b ) Borrower cures all breaches of any other covenants or agreements of Borrower contained in this Deed
of Trust; (c) Borrower pays all reasonable expenses incurred by Lender and Trustee in enforcing the covenants and
agreements of Borrower contained in this Deed of Trust, and in enforcing Lender’s and Trustee’s remedies
including, but not limited to, reasonable attorney’s fees; and (d) Borrower takes such action as Lender may
reasonably require to assure that the lien of this Deed of Trust, Lender’s interest in the Property and Borrower’s
obligation to pay the sums secured by this Deed of Trust shall continue unimpaired. Upon such payment and cure
by Borrower, this Deed of Trust and the obligations secured hereby will remain in full force and effect as if no
acceleration had occurred.
24. Reconveyance. Upon payment of all sums secured by this Deed of Trust, Lender will request
Trustee to reconvey the Property and will surrender this Deed of Trust and the Note evidencing the indebtedness
secured by this Deed of Trus t to Trustee. Trustee shall reconvey the Property without warranty and without charge
to the person or persons legally entitled thereto. Such person or persons will pay all costs of recordation, if any.
25. Substitute Trustee. Lender, at Lender’s option, may from time to time remove Trustee and
appoint a successor trustee to any Trustee appointed hereunder. Without conveyance of the Property, the successor
trustee will succeed to all the title, power and duties conferred upon the Trustee herein and by applicable law.
26. Request for Notice. Borrower requests that copies of the notice of default and notice of sale be
sent to Borrower’s address which is the Property address.
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IN WITNESS WHEREOF, BO RROWER HAS EXECUTED THIS DEED OF TRUST.
Borrower
Borrower
Borrower
Borrower
Borrower
Borrower
State of California
County of ___________________ _______________ ___
On _________________________ _ before me, ________________________________________________ _______ ,
Date Name and Title of Officer (e.g., “Jane Doe, Notary Public”)
personally appear ed ________________ _______________ _______________ _______________ _______________ _
Name(s) of Signers(s)
_________________________ __________________________________________ ___________________________ ,
personally known to me
(or proved to me on the basis of satisfactory evidence)
to be the person(s) whose name(s) is/are subscribed to the with in
instrument and acknowledged to me that he/she/they executed
the same in his/her/their authorized capacity(ies), and that by
his/her/their signature(s) on the instrument the person(s) or the
entity upon behalf of which the person(s) acted, executed the
instrument.
WITNESS my hand and official seal.
Place Notary Seal Above ___________________________________ _______________________
Signature of Notary Public
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