FOR AN OATH OR AFFIRMATION:

Sworn to (or affirmed) and subscribed before me this _____ day of _____, 20___, by (name of person making statement).

(NOTARY SEAL)

(Signature of Notary Public-State of Florida)
(Name of Notary Typed, Printed, or Stamped)

Personally Known ______ OR Produced Identification _______
Type of Identification Produced_______________________________________________

FOR AN ACKNOWLEDGEMENT IN AN INDIVIDUAL CAPACITY:

The foregoing instrument was acknowledged before me this _____day of _____, 20___, by (name of person acknowledging).

(NOTARY SEAL)

(Signature of Notary Public-State of Florida)
(Name of Notary Typed, Printed, or Stamped)

Personally Known _______ OR Produced Identification _______
Type of Identification Produced _________________________________________________

FOR A CERTIFIED COPY:

On this _____day of _____, 20___, I attest that the preceding or attached 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 my knowledge, that the photocopied document is neither a public record nor a publicly recordable document, certified copies of which are available from an official source other than a notary public.

(NOTARY SEAL)

(Official Notary Signature)
(Name of Notary Typed, Printed, or Stamped)