For an acknowledgment in an individual capacity

1 Florida Notarial CertificatesFor an acknowledgment in an individual capacity :STATE OF FLORIDACOUNTY OF _____The foregoing instrument was acknowledged before me this _____ day of 20____, by(name of person acknowledging.)_____(Seal)Signature of Notary PublicPrint, Type/Stamp Name of NotaryPersonally known:_____OR Produced Identification:_____Type of Identification Produced:_____For an acknowledgment in a representative capacity :STATE OF FLORIDACOUNTY OF _____The foregoing instrument was acknowledged before me this _____ day of 20____, by(name of person)as (type of officer, trustee, attorney in fact)for(name ofparty on behalf of whom instrument was executed)._____(Seal)Signature of Notary PublicPrint, Type/Stamp Name of NotaryPersonally known:_____OR Produced Identification:_____Type of Identification Produced:_____For an individual acting as principal by an attorney in fact:STATE OF FLORIDACOUNTY OF _____The foregoing instrument was acknowledged before me this _____ day of 20____, by(name of attorney in fact)as attorney in fact, who is personally known to me or who hasproduced(type of identification)as identification on behalf of(name of principal signer.)

2 _____(Seal)Signature of Notary PublicPrint, Type/Stamp Name of NotaryPersonally known:_____OR Produced Identification:_____Type of IdentificationProduced:_____For a corporation:STATE OF FLORIDACOUNTY OF _____The foregoing instrument was acknowledged before me this _____ day of 20____, by(name of officer or agent, title of officer or agent)of(name of corporationacknowledging, a(state or place of incorporation)corporation, on behalf of (Seal)Signature of Notary PublicPrint, Type/Stamp Name of NotaryPersonally known:_____OR Produced Identification:_____Type of Identification Produced:_____For a partnership:STATE OF FLORIDACOUNTY OF _____The foregoing instrument was acknowledged before me this _____ day of 20____, by(name of acknowledging partner or agent)partner(or agent), on behalf of(name ofpartnership), a (Seal)Signature of Notary PublicPrint, Type/Stamp Name of NotaryPersonally known:_____OR Produced Identification:_____Type of Identification Produced:_____For an acknowledgment in an individual capacity marking with an X :_____John X DoeSignature of WitnessHis MarkPrint Name and Address_____Signature of WitnessPrint Name and AddressSTATE OF FLORIDACOUNTY OF _____The foregoing instrument was acknowledged before me this _____ day of 20____, by(name of person acknowledging),who signed by way of mark in the presence of (Seal)Signature of Notary PublicPrint, Type/Stamp Name of NotaryPersonally known:_____OR Produced Identification.)

3 _____Type of Identification Produced:_____For a Person with a Disability Who Directs Another to Sign (For anAcknowledgment)_____John XDoeSignature of WitnessHis MarkPrint Name and Address_____Signature of WitnessPrint Name and AddressSTATE OF FLORIDACOUNTY OF _____The foregoing instrument was acknowledged before me this _____ day of 20____, by(name of person disability),and subscribed by(name of designated person)in thepresence of these witnesses at the direction of(name of person with disability)._____(Seal)Signature of Notary PublicPrint, Type/Stamp Name of NotaryPersonally known:_____OR Produced Identification:_____Type of Identification Produced:_____For an Oath or Affirmations:STATE OF FLORIDACOUNTY OF _____Sworn to (or affirmed) and subscribed before me this _____ dayof 20____, by(name ofperson making statement)._____(Seal)Signature of Notary PublicPrint, Type/Stamp Name of NotaryPersonally known:_____OR Produced Identification:_____Type of Identification Produced:_____For an Oath or Affirmations for one marking with an X :_____John X DoeSignature of WitnessHis MarkPrint Name and Address_____Signature of WitnessPrint Name and AddressSTATE OF FLORIDACOUNTY OF _____Sworn to (or affirmed) and subscribed before me this _____ day of 20____, by(name ofperson making statement)who signed by way of mark in the presence of these (Seal)Signature of Notary PublicPrint, Type/Stamp Name of NotaryPersonally known:_____OR Produced Identification:_____Type of Identification Produced.

4 _____For a Person with a Disability Who Directs Another to Sign (For an Oath)_____John X DoeSignature of WitnessHis MarkPrint Name and Address_____Signature of WitnessPrint Name and AddressSTATE OF FLORIDACOUNTY OF _____Sworn to (or affirmed) and subscribed before me this _____ day of 20____, by(name ofperson disability),and subscribed by(name of designated person)in the presence of thesewitnesses at the direction of(name of person with disability)._____(Seal)Signature of Notary PublicPrint, Type/Stamp Name of NotaryPersonally known:_____OR Produced Identification:_____Type of Identification Produced:_____Certifying to a Non-Recordable Document:STATE OF FLORIDACOUNTY OF _____On this _____ day of 20____, I attest that the preceding orattached document is a true,exact, complete, and unaltered photocopy made by me of(description of document)presented to me by the document s custodian, _____, and, to the best of myknowledge, that the photocopied document is neither a vital record nor a public record,certified copies of which are available from an official source other than a notary (Seal)Signature of Notary PublicPrint, Type/Stamp Name of NotaryPersonally known:_____OR Produced Identification:_____Type of Identification Produced:_____