Ill. Admin. Code tit. 14 , J, Appendix A, ILLUSTRATION E
Current through Register Vol. 48, No. 25, June 21, 2024
STATE OF | ) | SS |
) | ||
COUNTY OF | ) |
On ____________this day of ____________________, ____, before me ______________ the undersigned officer, personally appeared _______ and ______, known personally to me to be the ______________ President ____ and _____________ Secretary, respectively, of the above named corporation, and that they, as such officers, being authorized so to do, executed the foregoing instrument for the purpose therein contained, by signing the name of the corporation by themselves as such officer.
IN WITNESS WHEREOF I have hereunto set my hand and official seal.
________________________________
Notary Public
(Notarial Seal)
My commission Expires: ________
Ill. Admin. Code tit. 14 , J, Appendix A, ILLUSTRATION E