D-704 Quitclaim Deed and Authorization for Underground Water Rights, 21800 Almaden Ave, APN 375-15-035RECORDING REQUESTED BY DOCUMENT: 23396328
Fees .
Taxes
Pages: 7
*' No Fees
City of Cupertino 111111 Ull I 11'1111111111 Ill Cop i es . . ___ _
WHEN RECORDED MAIL TO
City Clerk's Office
City of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
REGI NA ALCOMENDRAS
SANTA CLARA COUN TY RECORDER
Re corded at the request of
c it y
AMT PAID
ROE ** 025
8/10/2016
2: 18 PM
(SPACE ABOVE THIS LINE FOR RECORDER'S USE)
NO FEE IN ACCORDANCE
WITH GOV. CODE 27281
QUITCLAIM DEED AND AUTHORIZATION FOR
UNDERGROUND WATER RIGHTS
21800 Almaden Avenue, Cupertino, CA 95014
APN 375-15-035.
Hestia Home LLC, a California limited liability company
~ Original
D For Fast Endorsement
"NO FEE"
City of Cupertino
CERTIFICATE OF ACCEPTANCE is hereby given in order to comply with the
provisions of Section 27281 of the Government Code.
This is to certify that the interest in real property conveyed by the deed or grant dated
July 13, 2016, from
21800 Almaden Avenue, Cupertino, CA 95014
to the City of Cupertino, a governmental agency, is hereby accepted by order of the Public
Works Director, and the grantee consents to recordation thereof by its duly authorized officer.
Dated:
By:
July 21, 2016
Lauren Sapudar
Senior Office Assistant
QUITCLAIM DEED AND AUTHORIZATION
FOR UNDERGROUND WATER RIGHTS
APN 375-15-035
21800 Almaden Avenue, Cupertino, CA 95014
Hestia Home LLC an , hereinafter referred to as the -=~------------------'----~---~~~~~---~----------.........
"GRANTOR'', this / 3 day of ------=,,_.,...~---+-1--' 2016, hereby grants, bargains,
assigns , conveys, remises , releases and quitclaims unto the CITY OF
CUPERTINO, a municipal corporation , hereinafter referred to as the "GRANTEE", its
successors and assigns , all the rights , titles, interests, estates, claims and demands, both at
law and in equity, and as well in possession as in expectancy of the GRANTOR as owner
of that certain re a l property situate in the County of Santa Clara, State of California, and
s pecificall y d escribed as follows:
SEE ATTACHED EXHIBIT "A"
The right to pump , take or otherwise extract water from the underground basin or an y
underground strata in the Santa Clara Valle y for beneficial use upon the lands overl y ing
said underground ba sin , and GRANTOR hereby irrevocably authorized GRANTEE, its
successors and assigns, on behalf of the GRANTOR and its successors in ownership of
overlying lands in the lot to take from the underground basin within the lot any and all
water which the owner or owners of said overlying lands may be entitled to take for
beneficial use on sa id lands and to supply such water to such owner or owners or others as
a public utility; provided , however, that nothing contained in this instrument shall be
deemed to authorize GRANTEE to enter upon any of the lot delineated upon the above
described legal description or to authorize GRANTEE to make any withdrawal of water
which will result in damage to any building or structure erected upon the lot.
This assignment, conveyance and authorization is made for the benefit lot within
the above described legal description and shall bind the owner of the lot(s) within the legal
description.
IN WITNESS WHEREOF, GRANTOR has executed this instrument the day and
year first above written.
CITY OF CUPERTINO:
~
Director of Public Works
OWNER: x ;_~
Zhimei Wu
Executive Manager
(Acknowledgment and Notarial Seal Attached)
Exhibit A
REAL PROPERTY IN THE CITY or CUPERTrNO, COUNTY OF SANTA CLARA, STA TE OF CALIFORNIA,
DESCRIBED AS POLLOWS:
SECTION NUMBER 97, MAP OF SUBDIVISION A, MONTA VISTA, AS SAID LOT IS LAID OUT AND DELINEATED
UPON THAT CERTAIN MAP ENTITLED "MAP OF SUBDIVISION A, MONTA VISTA", WHICH MAP WAS FILED FOR
RECORD ON THE ELEVENTH DAY OF APRIL 1917 , IN MAP BOOK "P" AT PAGE 20, SANTA CLARA COUNTY
RECORDS.
APN: 357-15-035
I
I
I
r
,I
. ..
CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT
I A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to I
which this certificate is attached , and not the truthfulness, accuracy, or validity of that document.
State of California
County of _s-'--· ..._--'-'Y'l_11-'--v.--'"--=Q_~i _1J-0_"4~~~--
On :Jv0q \iti,, 'L.O' 6 before me, ----~~·~, m~a__J:,=\~")~---,-':J~· ~lf_,. __ j_~_J ______ , Notary Public,
(Here in se rt nam e and titl e of th e offic er)
personally appeared ________ _____..'Z___,_\1_,__,_'\-'-YY\~Cl-=\-'------"-·v-=.J_·'-'\_,__ _______________ _
who proved to me on the basis of satisfactory evidence to be the personts) whose nameEs) is/~ubscribed to
the within instrument and acknowledged to me that):ie/she/,they executed the same in his/her/their authorized
capacity.(.ie'S), and that by h:i'§'/her/_1:.l;relr signature(-8} on the instrument the person(s-), or the entity upon behalf of
which the person(,SJ acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph
is true and correct.
WITNESS my hand and official seal.
\Sr~Jy~
Si gnatur e o f Not ary l)>bh?
J. NIM ESH J. PATEL
) Commi ssion # 21 43 752 i Not ary Public · Californi a
z Santa Clara County -
(No tary Seal) t 0 0 • 0 ,Ml S0 ~"1 tx~r:,s -~u ~,O }'ll&I
.
ADDITIONAL OPTIONAL INFORMATION
DESCRIPTION OF THE ATTACHED DOCUMENT
Q 1,,-..~.J C. \ a..\ W\ '1) RR_d C-\\1'\ ~ }\_ ~Gf-.;._ h "-~ ~-i"'\
(Title or desc ription of atta ched doc um ent}
~ lN'r\cU ~'i'i ~"-Jncl v'.:.i c-J -(_J)_ ~ "~ wJs
(Titl e or d6fiption of att ached docum ent co n ti ued)
Number of Pages -2_ Document Date 7 / r ~ I t b
(Additi onal inform ation)
CAPACITY CLAIMED BY THE SIGNER
~ndividual (s)
0 Corporate Officer
(Titl e)
D Partner(s)
0 Attorney-in-Fact
0 Tru stee(s)
D Other ____________ _
INSTRUCTIONS FOR COMPLETING THIS FORM
Any acknowledgment completed in California must contain verbiage exactly as
appears ab ove in the notaJy sec/ion or a separate ackn owledgment f orm must be
properly completed and altached lo Iha/ doc um ent. Th e only exce plion is if a
docum ent is to be recorded oulside of California. In such instanc es, any alternative
ackn owledgment verbiage as may be printed on s uch a do cum ent so long as th e
verbiage does not require th e notaJ )' to do so mething that is illegal f or a nolm y in
California (i.e. certifYing th e auth ori ze d capac ity of th e signer). Please check the
doc um ent carefi1/ly f or prope r notarial wording and al/ach this f orm if required.
• St ate and County information mu st be th e State and County wh ere th e do cum ent
sign er(s) personally app ea red before the notary public for ackno wled gment.
• Date of not arization mu st be the date that the signer(s) personall y appeared which
mu st also be th e sam e date th e ackno wledgment is completed .
• The nota ry public mu st print hi s or her name as it app ear s within hi s or her
commi ss ion fo llo we d by a co mma and th en yo ur titl e (not ary publi c).
• Print th e name(s ) o f doc um ent signer(s ) who person all y app ea r at th e tim e of
not ari za ti on.
• Indi cate th e correct sin gul ar or plural form s by cro ss ing off in correc t form s (i .e.
he/s he/!ltey;-is /fife) or circling the correct form s. Failure to correctl y indicate thi s
inform ation may lead to rejection of docum ent recording .
• Th e nota ry seal impres sion mu st be cl ea r and photographicall y reproducibl e.
Impre ss ion mu st not cover text or lin es. If sea l impress ion smudg es, re-sea l if a
suffi cient are a pe rmit s, oth erwise compl ete a different acknowl edgment fo nn .
• Sign ature of the notary public mu st match th e signatur e on file with the offic e of
th e county cl erk .
•:• Add iti onal inform ation is not req uir ed but could help to ensure thi s
ac kn ow ledgme nt is not mi suse d or att ac hed to a different doc um ent.
•:• Indi ca te titl e or ty pe of att ac hed do cum ent , numb er of pages and dat e.
·:· Indi ca te th e cap ac ity cl aim ed by the si gn er. If th e cl aim ed capa city is a
corporate offic er, indi ca te the titl e (i .e. CEO , CFO, Sec retary ).
• Se cur ely attach thi s do cum ent to the sign ed docum ent
C 2004-20 15 ProLi nk Sign in g Service, Inc . -All Rig hts Reserved www.TheProLi nk.co m -Na ti onwide NotJry Service
CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT
A notary public or other officer comple ting this certificate verifi es only the identity of the individual who signed the d ocument to
which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California
On TV\\µ 2\ ( 2X)[ (o before me, __ __,C~X)-"-'!._,.. Le=-"""QA\'-'---"-----=le_,,_,_J'--'-'-'-D.'(_:.U=---------' Notary Public, "J (Here insert name and title of the officer)
personally appeared :Offi VY\ 13f2ri£n
who proved to me on the basis of satisfactory evidence to be t ~(s) whos ~(~@)are subscribed to
the within instrument and acknowledged to me tha f@she/they executed the same in @iher/their authorized
~es), and that b ~her/their ~(s) on the instrument the@9li{s), or the entity upon behalf of ~~s) acte~xecuted the instrument. .
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph
is true and correct.
(Notary Seal)
ADDITIONAL OPTIONAL INFORMATION
DESCRIPTION OF THE ATTACHED DOCUMENT
(Title or description of attached document)
(Title or description of attached documen t continued)
Number of Pages __ Document Date ____ _
(Additional information)
CAP A CITY CLAIMED BY THE SIGNER
D Individual (s)
D Corporate Officer
(Title)
D Partner(s)
D Attorney-in-Fact
D Trustee(s)
D Other ____________ _
INSTRUCTIONS FOR COMPLETING THIS FORM
Any acknowledgment completed in California must contain verbiage exactly as
appears above in the notary section or a separate acknowledgment form must be
properly completed and al/ached lo that document. The only exception is if a
document is to be recorded outside of California. In such instances, any alternative
acknowledgment verb iage as may be printed on such a document so long as th e
verb iage does not require th e notary to do something that is illegal for a notary in
California (i .e. certifYing th e authorized capacity of the signer). Please check th e
document carefully for proper notarial wording and al/ach this form if required.
• State and Co un ty inform ation must be the State and County where the document
signer(s) personally appeared before the notary public for acknowledgment.
• Date of notarization must be the date that the signer(s) personally appeared which
must also be th e sa me date the acknowledgment is completed.
• The notary public must print his or her name as it appears within hi s or her
commission followed by a comma and then your title (notary public).
• Print the name(s) of document signer(s) who personally appear at th e time of
notariza tion .
• Indicate the correct singular or plural fonns by crossing off incorrect forms (i.e.
he/she/tliey;-is /are) or circling the correct fonns. Failure to correctly indicate this
infonnation may lead to rejection of document recording.
• The notary seal impression must be clear and photographically reproducible.
Impression must not cover text or lin es . If seal impression smudges, re -sea l if a
sufficie nt area pennits, otherwise complete a different acknowledgment fonn.
• Signature of the notary public must match the signature on file with the office of
th e county clerk.
•:• Additional infonnation is not required but could help to ensure this
acknowledgment is not misused or attached to a different do cument.
•:• Indicate title or type of attached document, number of pages and date.
•:• Indicate the capacity claimed by the signer. If the claimed capacity is a
corporate officer, indica te th e title (i.e. CEO, CFO, Secretary).
• Securely attach this document to the signed document
C 200 ,1-20 15 Pro I.ink Signing Service, In c. -All Right s Rese rv ed W\vw.T heP ro link .co m -Na ti onwide No tary Se rvice
RECORDING REQUESTED BY DOCUMENT: 23396328
Fees .
Taxes
Pages: 7
*' No Fees
City of Cupertino 111111 Ull I 11'1111111111 Ill Cop i es . . ___ _
WHEN RECORDED MAIL TO
City Clerk's Office
City of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
REGI NA ALCOMENDRAS
SANTA CLARA COUN TY RECORDER
Re corded at the request of
c it y
AMT PAID
ROE ** 025
8/10/2016
2: 18 PM
(SPACE ABOVE THIS LINE FOR RECORDER'S USE)
NO FEE IN ACCORDANCE
WITH GOV. CODE 27281
QUITCLAIM DEED AND AUTHORIZATION FOR
UNDERGROUND WATER RIGHTS
21800 Almaden Avenue, Cupertino, CA 95014
APN 375-15-035.
Hestia Home LLC, a California limited liability company
~ Original
D For Fast Endorsement
"NO FEE"
City of Cupertino
CERTIFICATE OF ACCEPTANCE is hereby given in order to comply with the
provisions of Section 27281 of the Government Code.
This is to certify that the interest in real property conveyed by the deed or grant dated
July 13, 2016, from
21800 Almaden Avenue, Cupertino, CA 95014
to the City of Cupertino, a governmental agency, is hereby accepted by order of the Public
Works Director, and the grantee consents to recordation thereof by its duly authorized officer.
Dated:
By:
July 21, 2016
Lauren Sapudar
Senior Office Assistant
QUITCLAIM DEED AND AUTHORIZATION
FOR UNDERGROUND WATER RIGHTS
APN 375-15-035
21800 Almaden Avenue, Cupertino, CA 95014
Hestia Home LLC an , hereinafter referred to as the -=~------------------'----~---~~~~~---~----------.........
"GRANTOR'', this / 3 day of ------=,,_.,...~---+-1--' 2016, hereby grants, bargains,
assigns , conveys, remises , releases and quitclaims unto the CITY OF
CUPERTINO, a municipal corporation , hereinafter referred to as the "GRANTEE", its
successors and assigns , all the rights , titles, interests, estates, claims and demands, both at
law and in equity, and as well in possession as in expectancy of the GRANTOR as owner
of that certain re a l property situate in the County of Santa Clara, State of California, and
s pecificall y d escribed as follows:
SEE ATTACHED EXHIBIT "A"
The right to pump , take or otherwise extract water from the underground basin or an y
underground strata in the Santa Clara Valle y for beneficial use upon the lands overl y ing
said underground ba sin , and GRANTOR hereby irrevocably authorized GRANTEE, its
successors and assigns, on behalf of the GRANTOR and its successors in ownership of
overlying lands in the lot to take from the underground basin within the lot any and all
water which the owner or owners of said overlying lands may be entitled to take for
beneficial use on sa id lands and to supply such water to such owner or owners or others as
a public utility; provided , however, that nothing contained in this instrument shall be
deemed to authorize GRANTEE to enter upon any of the lot delineated upon the above
described legal description or to authorize GRANTEE to make any withdrawal of water
which will result in damage to any building or structure erected upon the lot.
This assignment, conveyance and authorization is made for the benefit lot within
the above described legal description and shall bind the owner of the lot(s) within the legal
description.
IN WITNESS WHEREOF, GRANTOR has executed this instrument the day and
year first above written.
CITY OF CUPERTINO:
~
Director of Public Works
OWNER: x ;_~
Zhimei Wu
Executive Manager
(Acknowledgment and Notarial Seal Attached)
Exhibit A
REAL PROPERTY IN THE CITY or CUPERTrNO, COUNTY OF SANTA CLARA, STA TE OF CALIFORNIA,
DESCRIBED AS POLLOWS:
SECTION NUMBER 97, MAP OF SUBDIVISION A, MONTA VISTA, AS SAID LOT IS LAID OUT AND DELINEATED
UPON THAT CERTAIN MAP ENTITLED "MAP OF SUBDIVISION A, MONTA VISTA", WHICH MAP WAS FILED FOR
RECORD ON THE ELEVENTH DAY OF APRIL 1917 , IN MAP BOOK "P" AT PAGE 20, SANTA CLARA COUNTY
RECORDS.
APN: 357-15-035
I
I
I
r
,I
. ..
CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT
I A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to I
which this certificate is attached , and not the truthfulness, accuracy, or validity of that document.
State of California
County of _s-'--· ..._--'-'Y'l_11-'--v.--'"--=Q_~i _1J-0_"4~~~--
On :Jv0q \iti,, 'L.O' 6 before me, ----~~·~, m~a__J:,=\~")~---,-':J~· ~lf_,. __ j_~_J ______ , Notary Public,
(Here in se rt nam e and titl e of th e offic er)
personally appeared ________ _____..'Z___,_\1_,__,_'\-'-YY\~Cl-=\-'------"-·v-=.J_·'-'\_,__ _______________ _
who proved to me on the basis of satisfactory evidence to be the personts) whose nameEs) is/~ubscribed to
the within instrument and acknowledged to me that):ie/she/,they executed the same in his/her/their authorized
capacity.(.ie'S), and that by h:i'§'/her/_1:.l;relr signature(-8} on the instrument the person(s-), or the entity upon behalf of
which the person(,SJ acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph
is true and correct.
WITNESS my hand and official seal.
\Sr~Jy~
Si gnatur e o f Not ary l)>bh?
J. NIM ESH J. PATEL
) Commi ssion # 21 43 752 i Not ary Public · Californi a
z Santa Clara County -
(No tary Seal) t 0 0 • 0 ,Ml S0 ~"1 tx~r:,s -~u ~,O }'ll&I
.
ADDITIONAL OPTIONAL INFORMATION
DESCRIPTION OF THE ATTACHED DOCUMENT
Q 1,,-..~.J C. \ a..\ W\ '1) RR_d C-\\1'\ ~ }\_ ~Gf-.;._ h "-~ ~-i"'\
(Title or desc ription of atta ched doc um ent}
~ lN'r\cU ~'i'i ~"-Jncl v'.:.i c-J -(_J)_ ~ "~ wJs
(Titl e or d6fiption of att ached docum ent co n ti ued)
Number of Pages -2_ Document Date 7 / r ~ I t b
(Additi onal inform ation)
CAPACITY CLAIMED BY THE SIGNER
~ndividual (s)
0 Corporate Officer
(Titl e)
D Partner(s)
0 Attorney-in-Fact
0 Tru stee(s)
D Other ____________ _
INSTRUCTIONS FOR COMPLETING THIS FORM
Any acknowledgment completed in California must contain verbiage exactly as
appears ab ove in the notaJy sec/ion or a separate ackn owledgment f orm must be
properly completed and altached lo Iha/ doc um ent. Th e only exce plion is if a
docum ent is to be recorded oulside of California. In such instanc es, any alternative
ackn owledgment verbiage as may be printed on s uch a do cum ent so long as th e
verbiage does not require th e notaJ )' to do so mething that is illegal f or a nolm y in
California (i.e. certifYing th e auth ori ze d capac ity of th e signer). Please check the
doc um ent carefi1/ly f or prope r notarial wording and al/ach this f orm if required.
• St ate and County information mu st be th e State and County wh ere th e do cum ent
sign er(s) personally app ea red before the notary public for ackno wled gment.
• Date of not arization mu st be the date that the signer(s) personall y appeared which
mu st also be th e sam e date th e ackno wledgment is completed .
• The nota ry public mu st print hi s or her name as it app ear s within hi s or her
commi ss ion fo llo we d by a co mma and th en yo ur titl e (not ary publi c).
• Print th e name(s ) o f doc um ent signer(s ) who person all y app ea r at th e tim e of
not ari za ti on.
• Indi cate th e correct sin gul ar or plural form s by cro ss ing off in correc t form s (i .e.
he/s he/!ltey;-is /fife) or circling the correct form s. Failure to correctl y indicate thi s
inform ation may lead to rejection of docum ent recording .
• Th e nota ry seal impres sion mu st be cl ea r and photographicall y reproducibl e.
Impre ss ion mu st not cover text or lin es. If sea l impress ion smudg es, re-sea l if a
suffi cient are a pe rmit s, oth erwise compl ete a different acknowl edgment fo nn .
• Sign ature of the notary public mu st match th e signatur e on file with the offic e of
th e county cl erk .
•:• Add iti onal inform ation is not req uir ed but could help to ensure thi s
ac kn ow ledgme nt is not mi suse d or att ac hed to a different doc um ent.
•:• Indi ca te titl e or ty pe of att ac hed do cum ent , numb er of pages and dat e.
·:· Indi ca te th e cap ac ity cl aim ed by the si gn er. If th e cl aim ed capa city is a
corporate offic er, indi ca te the titl e (i .e. CEO , CFO, Sec retary ).
• Se cur ely attach thi s do cum ent to the sign ed docum ent
C 2004-20 15 ProLi nk Sign in g Service, Inc . -All Rig hts Reserved www.TheProLi nk.co m -Na ti onwide NotJry Service
CALIFORNIA ALL-PURPOSE CERTIFICATE OF ACKNOWLEDGMENT
A notary public or other officer comple ting this certificate verifi es only the identity of the individual who signed the d ocument to
which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California
On TV\\µ 2\ ( 2X)[ (o before me, __ __,C~X)-"-'!._,.. Le=-"""QA\'-'---"-----=le_,,_,_J'--'-'-'-D.'(_:.U=---------' Notary Public, "J (Here insert name and title of the officer)
personally appeared :Offi VY\ 13f2ri£n
who proved to me on the basis of satisfactory evidence to be t ~(s) whos ~(~@)are subscribed to
the within instrument and acknowledged to me tha f@she/they executed the same in @iher/their authorized
~es), and that b ~her/their ~(s) on the instrument the@9li{s), or the entity upon behalf of ~~s) acte~xecuted the instrument. .
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph
is true and correct.
(Notary Seal)
ADDITIONAL OPTIONAL INFORMATION
DESCRIPTION OF THE ATTACHED DOCUMENT
(Title or description of attached document)
(Title or description of attached documen t continued)
Number of Pages __ Document Date ____ _
(Additional information)
CAP A CITY CLAIMED BY THE SIGNER
D Individual (s)
D Corporate Officer
(Title)
D Partner(s)
D Attorney-in-Fact
D Trustee(s)
D Other ____________ _
INSTRUCTIONS FOR COMPLETING THIS FORM
Any acknowledgment completed in California must contain verbiage exactly as
appears above in the notary section or a separate acknowledgment form must be
properly completed and al/ached lo that document. The only exception is if a
document is to be recorded outside of California. In such instances, any alternative
acknowledgment verb iage as may be printed on such a document so long as th e
verb iage does not require th e notary to do something that is illegal for a notary in
California (i .e. certifYing th e authorized capacity of the signer). Please check th e
document carefully for proper notarial wording and al/ach this form if required.
• State and Co un ty inform ation must be the State and County where the document
signer(s) personally appeared before the notary public for acknowledgment.
• Date of notarization must be the date that the signer(s) personally appeared which
must also be th e sa me date the acknowledgment is completed.
• The notary public must print his or her name as it appears within hi s or her
commission followed by a comma and then your title (notary public).
• Print the name(s) of document signer(s) who personally appear at th e time of
notariza tion .
• Indicate the correct singular or plural fonns by crossing off incorrect forms (i.e.
he/she/tliey;-is /are) or circling the correct fonns. Failure to correctly indicate this
infonnation may lead to rejection of document recording.
• The notary seal impression must be clear and photographically reproducible.
Impression must not cover text or lin es . If seal impression smudges, re -sea l if a
sufficie nt area pennits, otherwise complete a different acknowledgment fonn.
• Signature of the notary public must match the signature on file with the office of
th e county clerk.
•:• Additional infonnation is not required but could help to ensure this
acknowledgment is not misused or attached to a different do cument.
•:• Indicate title or type of attached document, number of pages and date.
•:• Indicate the capacity claimed by the signer. If the claimed capacity is a
corporate officer, indica te th e title (i.e. CEO, CFO, Secretary).
• Securely attach this document to the signed document
C 200 ,1-20 15 Pro I.ink Signing Service, In c. -All Right s Rese rv ed W\vw.T heP ro link .co m -Na ti onwide No tary Se rvice