Examples of Witness Signature in a sentence
Seller’s Signature: Date: , 20 Printed Name: Buyer’s Signature: Date: , 20 Printed Name: Witness Signature: Date: , 20 Printed Name: Witness Signature: Date: , 20 Printed Name: ACKNOWLEDGMENT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
Witness Signature: ✍ Date Signed: Witness Signature: ✍ Date Signed: Send Information To: Department of Rehabilitation Rehabilitation Counselor: Telephone: Check if TTY: STATE OF CALIFORNIA DEPARTMENT OF REHABILITATION CONSENT TO RELEASE MEDICAL INFORMATION Page 2 of 3 DR 264A (REGS/Rev.
INDIVIDUAL SIGNED by (Name) in the presence of Signature Witness Signature PARTNERSHIP/FIRM SIGNED BY 1.
Staff Witness Signature Date * When a parent/guardian refuses to sign this form, the Enrollment Coordinator is notified.
SIGNED AND DELIVERED BY ME THIS DAY OF , 20 : Signature Witness Signature Your personal information (including your Image) is being collected under Section 26(c) of the Freedom of Information and Protection of Privacy Act for the purposes described above in section 2.