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Fill and Sign the Before Me a Notary Public in and for Said County Personally Appeared the above Form

Fill and Sign the Before Me a Notary Public in and for Said County Personally Appeared the above Form

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OHIO Individual STATE OF COUNTY OF Before me, a notary public in and for said county, personally appeared the above named ____, who acknowledged that (he/she) did sign the foregoing instrument, and that the same is his free act and deed. In testimony whereof, I have hereunto subscribed my name at ____, this ____ day of ____, ____. Notary Public in and for the State of Printed Name: Commission Expires: Corporate STATE OF COUNTY OF Before me, a notary public in and for said county, personally appeared ____, known to me to be the person who, as (president, etc.) of (name of corporation) the corporation which executed the foregoing instrument, signed the same, and acknowledged to me that he did so sign said instrument in the name and upon behalf of said corporation as such officer; that the same is his free act and deed as such offic er, and the free and corporate act and deed of said corporation; that he was duly authorized thereunto by its board of directors; and that the seal affixed to said instrument i s the corporate seal of said corporation. In testimony whereof, I have subscribed my name, affixed my official seal at ____, this ____ day of ____, ____. Notary Public in and for the State of Printed Name: Commission Expires: Agent or Attorney in Fact STATE OF COUNTY OFBefore me, a notary public in and for said county, personally appeared _________ (name of attorney in fact), to me known to be the person who executed the foregoing instrument in behalf of __________ (name of principal), and acknowledged that he executed the same, as the free act and deed of said __________ (name of principal). I have hereunto subscribed my name at ____, this ____ day of ____, ____. Notary Public in and for the State of Printed Name: Commission Expires:

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