(1) For an individual acting in his own right:
State of ...................................................
County of ..................................................
The foregoing instrument was acknowledged before me this
.................... by ....................................
(date)(name of person acknowledged)
............................................................
(Signature of Person Taking Acknowledgment)
............................................................
(Title or Rank)
............................................................
(Serial Number, if any)
(2) For a corporation:
State of ...................................................
County of ..................................................
The foregoing instrument was acknowledged before me this
................ by ........................................
(date) (name of officer or agent, title of officer or agent)
of ........................................................,
(name of corporation acknowledging)
a ........................................ corporation, on
(state or place of incorporation)
behalf of the corporation.
............................................................
(Signature of Person Taking Acknowledgment)
............................................................
(Title or Rank)
............................................................
(Serial Number, if any)
(3) For a partnership:
State of ...................................................
County of ..................................................
The foregoing instrument was acknowledged before me this
.............. by .........................................,
(date) (name of acknowledging partner or agent)
partner (or agent) on behalf of ...........................,
name of partnership)
a partnership
............................................................
(Signature of Person Taking Acknowledgment)
............................................................
(Title or Rank)
............................................................
(Serial Number, if any)
(4) For an individual acting as principal by an attorney in
fact:
State of ..................................................
County of .................................................
The foregoing instrument was acknowledged before me this
.............. by .........................................
(date) (name of attorney in fact)
as attorney in fact on behalf of ..........................
(name of principal)
...........................................................
(Signature of Person Taking Acknowledgment)
...........................................................
(Title or Rank)
...........................................................
(Serial Number, if any)
(5) By any public officer, trustee or personalrepresentative:
State of ..................................................
County of .................................................
The foregoing instrument was acknowledged before me this
.............. by .........................................
(date) (name and title of position)
...........................................................
(Signature of Person Taking Acknowledgment)
...........................................................
(Title or Rank)
...........................................................
(Serial Number, if any)