§200.ILLUSTRATION F. Individual or Partnership Acknowledgment  


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  • STATE OF

     

    )

    SS

     

     

    )

    COUNTY OF

     

    )

     

     

    On this

     

    day of

     

    ,

     

    , before me

     

    the undersigned officer, personally appeared

     

    to me personally known and known to be the same person(s) whose name(s) is (are) signed to the foregoing instrument, and acknowledged the execution thereof for the uses and purposes therein set forth.

     

     

    IN WITNESS WHEREOF I have hereunto set my hand and official seal.

     

    (Notarial Seal)

    Notary Public

    My commission expires:

     

     

    (Source:  Amended at 23 Ill. Reg. 11561, effective September 7, 1999)