Certificate of Proof of Execution
State of California - To Wit:
I, _______________, of _______________, _______________, _______________
MAKE OATH AND SAY THAT:
1. I WAS PERSONALLY present and witnessed _______________, who is
personally known to me and is the person named in the attached
instrument, duly execute the instrument.
2. That I believe that _______________, the person whose signature I
witnessed and the person named in the instrument, is at least the age of
majority in the State of California.
3. THE INSTRUMENT was executed at the City of _______________, in the
State of California, and that I am the subscribing witness thereto.
4. _______________ was personally present and witnessed my signing of the
instrument.
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SAMPLE DOCUMENT
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