2011-12-16_REVISION - M2010036

• Permit No: M2010036
• IBM Index Class Name: REVISION
• Doc Date: 12/16/2011
• Doc Name: SO Application
• From: Crystal Springs Ranch, Inc.
• To: DRMS
• Type & Sequence: SO1
• Email Name: BMK
• Email Name: TAK
• Media Type: D
• Archive: No

DESCRIPTION OF THE ATTACHED DOCUMENT
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(Title or description of attached document)
(Title or description of attached document continued)
Number of Pages Document Date
(Additional information)
State of California
CALIFORNIA ALL - PURPOSE
CERTIFICATE OF ACKNOWLEDGMENT
County of c.Sotn 0_
On ,2�0 (0 (.4 /( before me,
personally appeared 4 (72-4vcgo ,.)
who proved to me on the basis of satisfactory evidence to be the person(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 authorized
capacity(ies), and that by his /her /their signature(s) on the instrument the person(s), or the entity upon behalf of
which the person(s) 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.
Signature ofi fary Public
CAPACITY CLAIMED BY THE SIGNER
❑ Individual (s)
❑ Corporate Officer
(Title)
❑ Partner(s)
❑ Attorney -in -Fact
❑ Trustee(s)
❑ Other
rx/
(Here insert name and title of the officer) ✓
44'1 ts
(Notary Seal)
ADDITIONAL OPTIONAL INFORMATION
MORGAN MERRITT
Commission # 1920977
Notary Public - California i
Z • " Sonoma County
My Comm Expires Jan 8, 2015
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 attached to that document. The only exception is if a
document is to be recorded outside of California. In such instances, any alternative
acknowledgment verbiage as may be printed on such a document so long as the
verbiage does not require the notary to do something that is illegal for a notary in
California (i e certifying the authorised capacity of the signer). Please check the
document carefully for proper notarial wording and attach this form if required
• State and County information 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 the same date the acknowledgment is completed.
• The notary public must print his or her name as it appears within his 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 the time of
notarization.
• Indicate the correct singular or plural forms by crossing off incorrect forms (i e
he /she /they, is /are) or circling the correct forms. Failure to correctly indicate this
information may lead to rejection of document recording.
• The notary seal impression must be clear and photographically reproducible
Impression must not cover text or lines If seal impression smudges, re -seal if a
sufficient area permits, otherwise complete a different acknowledgment form.
• Signature of the notary public must match the signature on file with the office of
the county clerk
• Additional information is not required but could help to ensure this
acknowledgment is not misused or attached to a different document
• 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, indicate the title (i e CEO, CFO, Secretary)
• Securely attach this document to the signed document
2008 Version CAPA v12 10 07 800- 873 -9865 www NotaryClasses com