Signature of Notary Sample Clauses

Signature of Notary. State of California County of . On (date), before me , personally appeared (names of all signers), who proved to me on the basis of satisfactory evidence of identification to be the people whose names are signed on this Supported Decision-Making agreement. The text of this agreement was communicated to the person with a disability in my presence by:  Reading the full agreement aloud  Otherwise communicating the agreement to the person with a disability (describe communication used): . Seal of notary: My commission expires: OR Signature of Witnesses I, , swear that this Supported Decision-Making agreement was communicated in my presence to the decider (the person with a disability). Signature Date I, , swear that this Supported Decision-Making agreement was communicated in my presence to the decider (the person with a disability).
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Signature of Notary. Please note any medical conditions/allergies you have that we should be aware of in case of an emergency:
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Signature of Notary. Stamp or seal containing printed name, county of qualification of notary public and expiration date of notary commission NEW YORK STATE ACKNOWLEDGEMENT – Contractor/Consultant State of New York ) ) SS: County of ________ ) On the day of , in the year _________, before me, the undersigned, personally appeared: (NAME) personally known to me or proved to me on the basis of satisfactory evidence to be the individual(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 capacity(ies), and that by his/her/their signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument. _________________________________
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Signature of Notary. Stamp or seal containing printed name, county of qualification of notary public and expiration date of notary commission APPENDIX “A”
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Signature of Notary. State of California County of . On (date), before me (name of notary), personally appeared (names of all signers), who proved to me on the basis of satisfactory evidence of identification to be the people whose names are signed on this Supported Decision-Making agreement. The text of this agreement was communicated to the person with a disability in my presence by:  Reading the full agreement aloud  Otherwise communicating the agreement to the person with a disability (describe communication used): .
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Related to Signature of Notary

  • Signature of witness Address of Witness

  • Signature Signature For the participant For the institution Xxxxxx Xxxxx prof. Ing. arch. Xxxxxx Xxxxxxx, PhD. Vice-xxxxxx for International Relations and Public Relations, based on the procuration Annex I

  • Your Signature (Sign exactly as your name appears on the face of this Note) Signature Guarantee*: _________________________ * Participant in a recognized Signature Guarantee Medallion Program (or other signature guarantor acceptable to the Trustee).

  • Counterpart Signature This Agreement may be signed in counterpart, and the signed copies will, when attached, constitute an original Agreement.

  • Counterparts and Signature This Agreement may be executed in two or more counterparts, each of which shall be deemed an original but all of which together shall be considered one and the same agreement and shall become effective when counterparts have been signed by each of the parties hereto and delivered to the other parties, it being understood that all parties need not sign the same counterpart. This Agreement may be executed and delivered by facsimile transmission.

  • Witness Signature 4. PARENT/GUARDIAN CONSENT: (for applicants under 18 years) – I hereby certify and decree that all the information contained in the declarations above is true and accurate Print Name:................................................................... Signature …………………………………………....……... Relationship to applicant ……………………………… Phone Contact ……………………................................... Address …………………………………………………………………….....................................................................

  • Counterparts and Signatures The Agreement may be executed in multiple counterparts, each of which shall be deemed an original, but all of which taken together shall constitute one and the same instrument. A Party may evidence its execution and delivery of the Agreement by transmission of a signed copy of the Agreement via facsimile or email. In such event, the Party shall promptly provide the original signature page(s) to the other Party.

  • ASSIGNMENT AND TRANSFER SIGNATURE LINES FOR VALUE RECEIVED, the undersigned Holder hereby sell(s), assign(s) and transfer(s) unto ______________________________ whose taxpayer identification number is _______________________ and whose address including postal zip code is ____________________________, the within Receipt and all rights thereunder, hereby irrevocably constituting and appointing ________________________ attorney-in-fact to transfer said Receipt on the books of the Depositary with full power of substitution in the premises.

  • Counterpart Signatures This Agreement may be executed in several counterparts, including via facsimile, each of which shall be deemed an original for all purposes, including judicial proof of the terms hereof, and all of which together shall constitute and be deemed one and the same agreement.

  • Vendor Agreement Signature Form (Part 1)

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