New York Certificate of Acknowledgment:

(for personal powers of attorney, affidavits, statements, letters, consents, copies of diplomas and transcripts signed by school officials, etc.)

State of New York     )

County of _________ )

On the . . . . . . day of . . . . . . in the year 20 . .  . . before me, the undersigned, personally appeared . . . . . ., personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies),

_______________         [Notary stamp]
Notary Signature     

[Notary's name]               Date:
Notary Public, State of New York
Registration.....
Qualified in ....... County
My commission expires ...

importantPlease note that if the document is signed by several people, the notary should indicate whose signature he/she is notarizing.

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