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[Printed Name] [Title, if entity]

WITNESS my hand and official seal. Notary Public

On this ______ day of ______________ , before me personally appeared ___________________________, 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 within instrument and acknowledged to me that he/she/they executed the same.

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[Printed Name] [Title, if entity]

WITNESS my hand and official seal. Notary Public form of reassignment for valuable consideration lic pdf

On this ______ day of ______________ , before me personally appeared ___________________________, 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 within instrument and acknowledged to me that he/she/they executed the same. [Printed Name] [Title, if entity] WITNESS my hand

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