CCH PETITION FOR GREGORY VLASEK (PL-CCH-2022-002)

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J U RAT 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. State of California County of Scacmnnem Subscribed and sworn to (or affirmed) before me on this [may of"V-6 '1 , 20` by Yr. 010YV V1 Cjs . proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. 'eft.o A MONDRAGON Commission f2264992 a , Notary Pudic-Cadfomia San Luis ODW County Comm Exprss APR 12,2023 1 Signature U (Seal) f OPTIONAL INFORMATION INSTRUCTIONS The wording of all Jurats completed in California after January 1,2015 must be in the form as set forth within this Jurat.There are no exceptions.If a Jurat to be completed does not follow this form,the notary must correct the verbiage by using a jurat stamp containing the correct wording or attaching a separate jurat form such as this one with does contain the proper wording. In addition, the notary must require an oath or affirmation from the DESCRIPTION OF THE ATTACHED DOCUMENT document signer regarding the truthfulness of the contents of the document. The document must be signed AFTER the oath or affirmation.If the document was previously L rl 1'L Q N �' ry(Z r1k-&,r b t0 4 JJU jk signed,it must be re-signed in front of the notarypublic during the jurat process. (Title or description of attached document) . .� a State and county information must be the state and county where the document signer(s)personally appeared before the notary public. (Title or description of attached document continued) • Date of notarization must be the date the signer(s) personally appeared which must also be the same date the jurat process is Z completed. Number of Pages Document Date l?� • Print the name(s) of the document signer(s)who personally appear at the time of notarization. • Signature of the notary public must match the signature on file with the Additional information office of the county clerk. • 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 jurat form. ee Additional information Is not required but could help to ensure this jurat is not misused or attached to a different document. Indicate title or type of attached document, number of pages and date. • Securely attach this document to the signed document with a staple. 2015 Version www,Nota ryC lasses.corn 800-873-9865