Opinion ID: 1203232
Heading Depth: 1
Heading Rank: 19

Heading: for corporate investors

Text: ___________________________________________________________________________ Name of corporation (please print or type) By: _______________________________________________________________________ (Signature of authorized agent) Title: ____________________________________________________________________ Taxpayer Identification No.: ______________________________________________ Address of Principal Corporate Offices ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ Attention: ___________________________________________ Executed at ____________, _____________ this ____ day of __________, 19__ City State STATE OF _____________ ) ) ss. County of ____________ ) On this ____ day of ________________, 1984, before me, the undersigned, a notary public in and for said county and state, personally appeared ______, known to me to be the President of ____________________, the corporation whose name is subscribed to the within instrument or the person who executed the instrument on behalf of said corporation and acknowledged to me that such corporation executed the same. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal, the same day and year in this certificate first above written. ___________________________________ NOTARY PUBLIC FOR _________________ Residing at _______________________ Commission expires: _______________