New York Notary Acknowledgment
This Notary Acknowledgment is made in accordance with the relevant provisions of the New York State Consolidated Laws. It serves to confirm the identity and the voluntary nature of the signature(s) affixed to the document below.
Document Title: ______________________________________________
State of New York
County of _____________
On this ____ day of ____________, 20___, before me, the undersigned, personally appeared:
- Name of Signer: ____________________________________
- Address of Signer: ________________________________
- Type of Identification Presented: ______________________
- Identification Number: ____________________________
Each signer acknowledged to me that he/she executed the same for the purposes therein contained.
In witness whereof, I hereunto set my hand and official seal.
Notary Signature: _______________________________
Notary Name (Printed): ________________________
Notary Public, State of New York
Commission Number: ___________________________
My Commission Expires: ______________________