STATE OF FLORIDA

COUNTY OF _________________

Before me this day personally appeared ________________________ who, being duly sworn,

deposes and says:

(INSERT FACTS TO BE SWORN TO

OR AFFIRMED BY THE AFFIANT)

Signature of Affiant_______________________

Sworn to (or affirmed) and subscribed before me this _______ day of ___________________,

20___ , by ________________________

.

Personally known_______________

OR Produced Identification_______________

Type of Identification Produced_______________

Notary Signature ___________________

PRINT, TYPE OR STAMP NAME OF NOTARY

(Seal)

STATE OF FLORIDA

COUNTY OF ____________

In my capacity as a Notary Public of the State

of Florida, I certify that on the _____ day of

_________________, 20___, at (time) a.m./

p.m., (name of deponent) personally

appeared before me and took an oath (or

affirmation) for the purpose of giving

testimony in the matter:__________________

_________________________________.

Identification:

Personally Known__________

or Produced Identification__________

Type of Identification Produced__________

Notary Signature__________________

PRINT, TYPE OR STAMP NAME OF NOTARY

(Seal)

Attesting to a photocopy

STATE OF FLORIDA

COUNTY OF __________

On this __________ day of __________, 20__,

I attest that the preceding or attached

document is a true, exact, complete, and

unaltered photocopy made by me of

____(DESCRIPTION OF DOCUMENT)_____ presented to

me by the document's custodian, __________

____________________, and, to the best of my

knowledge, that the photocopied document is

neither a public record nor a publicly

recordable document, certified copies of which

are available from an official source other than

a notary public.

Notary Signature_______________

PRINT, TYPE OR STAMP NAME OF NOTARY

(Seal)

STATE OF FLORIDA

COUNTY OF__________________

On the ___day of _____________, 20__, safe-deposit box number

_________ rented in the name of ________________________ was

opened by _(name of financial institution)_ in my presence

and in the presence of __(name of officer)__. The contents of the

box consisted of the following:

(List contents here.)

Notary Public________________

(PRINT, TYPE OR STAMP NAME OF NOTARY)

(Seal)

Signature___________________

(PRINT OR TYPE NAME OF PERSON OPENING BOX)

Signature___________________

(PRINT OR TYPE NAME OF OFFICER OF FINANCIAL INSTITUTION)

STATE OF FLORIDA

COUNTY OF __________

Sworn to (or affirmed) and subscribed before

me this ____________ day of ______________,

20__, by (NAME OF PERSON MAKING

STATEMENT)

.

Notary Signature___________________

PRINT, TYPE OR STAMP NAME OF NOTARY

(Seal)

Personally known_________

OR Produced Identification_________

Type of Identification Produced_________

STATE OF FLORIDA

COUNTY OF __________

The foregoing instrument was acknowledged

before me this __________ day of

_____________, 20__, by (NAME OF

PERSON) as (TYPE OF AUTHORITY, e.g.

OFFICER, TRUSTEE, ATTORNEY IN FACT)

for (NAME OF PARTY ON BEHALF OF

WHOM INSTRUMENT WAS EXECUTED).

Notary Signature_____________________

PRINT, TYPE OR STAMP NAME OF Notary

(Seal)

Personally known_________

OR Produced Identification_________

Type of Identification Produced_________

STATE OF FLORIDA

COUNTY OF __________

The foregoing instrument was acknowledged

before me this ______________ day of

_________________, 20__, by (NAME OF

PERSON ACKNOWLEDGING).

Notary Signature___________________

PRINT, TYPE OR STAMP NAME OF NOTARY

(Seal)

Personally known_________

OR Produced Identification_________

Type of Identification Produced_________

Under the penalties of perjury, I declare that the

person appearing before __(name of notary)__ is

personally known to me as __(name of person whose

signature is to be notarized)__ and is the person

named in the document requiring notarization.

Witness Signature_________________

DATE NAME OF WITNESS

STATE OF FLORIDA

COUNTY OF ______

Sworn to and subscribed before me this ___ day of

_____, 20__, by _(name of witness)_ who is personally

known to me.

Notary Signature__________________

PRINT, TYPE OR STAMP NAME OF NOTARY

(Seal)

(2) Credible Witnesses Affidavit

Under the penalties of perjury, I declare that the

person appearing before __(name of notary)__ is

personally known to me as __(name of person whose

signature is to be notarized)__ and is the person

named in the document requiring notarization; that I

believe that this person does not possess the required

identification; that I believe it would be difficult or

impossible for this person to obtain such

identification; and that I do not have a financial

interest in and am not a party to the underlying

transaction.

Witness Signature________________________

DATE NAME OF WITNESS

Witness Signature________________________

DATE NAME OF WITNESS

STATE OF FLORIDA

COUNTY OF ______

Sworn to and subscribed before me this ___ day of

_____, 20__, by _(name of witness)_ who is produced

(type of identification) as identification, and by

(name of witness) who produced (type of

identification) as identification.

Notary Signature_____________________

PRINT, TYPE OR STAMP NAME OF NOTARY

(Seal)

That website address is: www.flgov.com/pdfs/ref_manual

Cheryl L. Aerts

4560 Pioneer Terrace

Hernando, FL 34442

352-560-3178 Office

352-212-2480 Mobile

352-400-4487 Fax

“I AM NOT AN ATTORNEY LICENSED TO PRACTICE LAW IN THE STATE OF FLORIDA, AND I MAY NOT GIVE LEGAL ADVICE OR ACCEPT FEES FOR LEGAL ADVICE.”