State of __________ | ) | |
) | ss. | |
County of _________ | ) |
The foregoing instrument was acknowledged before me this (date) by (person acknowledging, title or representative capacity, if any).
___________________________________________
(Signature of Person Taking Acknowledgment)
(Seal) (Title)
My commission expires: Residing at:
______________________ ______________________________
Utah Code § 57-2a-7