Georgia Acknowledgment Certificate

Statutory basis: This acknowledgment is executed pursuant to O.C.G.A. § 44-2-15. A notarial acknowledgment certifies that the named signer personally appeared, was identified, and acknowledged executing the instrument as a free and voluntary act.

County of Execution

State

County

Acknowledgment Statement

Before me, the undersigned notary public, on this day of , , personally appeared , known to me or satisfactorily proven to be the person whose name is subscribed to the within instrument.

Said person acknowledged to me that they executed the same as their free and voluntary act and deed for the uses and purposes therein set forth.

Capacity in which signed: Individual Attorney-in-Fact Authorized Representative Other:

Identification of Signer

ID Type (e.g., Driver's License, Passport)

ID Number (last 4 digits only)

Issuing Authority / State

ID Expiration Date

Notarial Certificate

In witness whereof, I have hereunto set my hand and official seal in County, Georgia, on the date set forth above.

Signature of Notary Public

Commission Expiration Date

Printed Name of Notary Public

Official Capacity of Officer

Affix official notary stamp here. O.C.G.A. § 44-2-15 requires the notary's official seal on all acknowledgments. The notary is not an attorney and cannot provide legal advice.

Notarial Certificate of Acknowledgment