Executed this _____ day of ____________, 20____ in _______________________.__________.
| CERTIFICATE OF ACKNOWLEDGMENT JURAT |
STATE OF FLORIDA
COUNTY OF ____________________
The foregoing instrument was acknowledged before me this _______________, 20____, by ____________________. The foregoing instrument was acknowledged before me this _______________, 20____, by ____________________ of , a , on behalf of the . Sworn to (or affirmed) and subscribed before me on _____________, 20___ by ______________________.
| ________________________________________ |
| NOTARY PUBLIC OR DEPUTY CLERK |
| ________________________________________ |
| Print, type, or stamp commissioned name of notary or clerk |
| Type of Identification Produced_______________________ |