State of Tennessee )
County of ______________ )
Personally appeared before me, (name of clerk or deputy), clerk (or deputy clerk) of this county, (bargainor's name), the within named bargainor, with whom I am personally acquainted (or proved to me on the basis of satisfactory evidence), and who acknowledged that such person executed the within instrument for the purposes therein contained.
Witness my hand, at office, this ____________________ day of ____________________, 20____________________.
State of Tennessee )
County of ______________ )
On this ____________________ day of ____________________, 20____________________, before me personally appeared ______________, to me known to be the person (or persons) described in and who executed the foregoing instrument, and acknowledged that such person (or persons) executed the same as such person's (or persons') free act and deed.
State of Tennessee )
County of ______________ )
On this ____________________ day of ____________________, 20____________________, before me personally appeared ______________, to me known (or proved to me on the basis of satisfactory evidence) to be the person who executed the foregoing instrument in behalf of ____________________ acknowledged that such person executed the same as the free act and deed of ____________________.
T.C.A. § 66-22-107