Ill. Admin. Code tit. 35, pt. 811, subpt. G, app A, ILLUSTRATION B

Current through Register Vol. 48, No. 52, December 27, 2024
Certificate of Acknowledgment

CERTIFICATE OF ACKNOWLEDGMENT

State of __________________________)

) SS

County of _________________________)

On this _________ day of ________, __________ before me personally came _______________________________ (operator) to me known, who, being by me duly sworn, did depose and say that she/he resides at ______________________________________ (address), that she/he is ____________________________________________ (title) of __________________ (corporation), the corporation described in and ________________________________________________________________________________ which executed the above instrument; that she/he knows the seal of said corporation; that the seal affixed to such instrument is such corporate seal; that it was so affixed by order of the Board of Directors of said corporation, and that she/he signed her/his name thereto by like order.

___________________________________ Notary Public

My Commission Expires ________________

Ill. Admin. Code tit. 35, pt. 811, subpt. G, app A, ILLUSTRATION B

Adopted at 42 Ill. Reg. 21330, effective 11/19/2018