State of ________________________________________
County of ______________________________________
This record was acknowledged before me on __________ (date) by
(Name(s) of individual(s))
___________________________
Signature of notarial officer
Stamp
___________________________
Title of office
My commission expires (date)
State of _________________________________________
County of _______________________________________
This record was acknowledged before me on __________ (date) by
___________________________
(Name(s) of individual(s))
On _______(date)
As _____________ (type of authority, such as officer or trustee) of (name of party on behalf of
___________________________
whom record was executed).
Signature of notarial officer
Stamp
___________________________
Title of office
My commission expires (date)
State of _________________________________________
County of _______________________________________
Signed and sworn to (or affirmed) before me on _______ (date) by
___________________________
(Name(s) of individual(s) making statement)
___________________________
Signature of notarial officer
Stamp
Title of office
My commission expires (date)
State of _________________________________________
County of _______________________________________
Signed (or attested) before me on (date) _____________
___________________________
(Name(s) of individual(s))
___________________________
Signature of notarial officer
Stamp
Title of office
My commission expires (date)
State of _________________________________________
County of ______________________________________
I certify that this is a true and correct copy of a record in the possession of ______________(name).
Dated _____________________ (date)
___________________________
Signature of notarial officer
Stamp
___________________________
Title of office
My commission expires (date)
N.J. Admin. Code § 17:50-1.10