HomeMy WebLinkAbout951982CERTIFICATE OF OWNER'S SIGNATURE
COMES NOW, Earl J. Darway Family Trust, dated 30 January 2001, whose address is 350
Patchett Road, San Luis Obispo, CA 93401 acting through its Trustee Earl J. Darway, does
hereby make the following statement of facts:
1. That he is an owner of the land described under the Certificate of Surveyor on the plat titled,
"HICKORY HOLLOW PHASE I WITHIN THE SW1 /4SW1 /4 SECTION 14 SE1 /4SE1 /4
SECTION 15 T31N R119W LINCOLN COUNTY, WYOMING dated 13 July 2007, as
revised, as revised, and recorded concurrently herewith.
2. That he has reviewed said plat.
3. That he has read and understands the provisions of the Certificate of Owner thereon and the
implications thereof.
4. That this certificate is signed in the stead of and has the same effect as if the original mylar
of said plat had been signed.
DATED this !milQ day of A/ 2010.
Trust, dated 30 January 2001
Earl J. Darway F
7 4ii e
Earl arw
STATE OF CALIFORNIA
SS.
COUNTY OF
Witness my hand and official seal.
Commission Expires:
00
RECEIVED 2/3/2010 at 3:44 PM
RECEIVING 951982
BOOK: 741 PAGE: 774
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
The foregoing instrument was acknowledged before me by Earl J. Darw. y, Trustee of the
Earl J. Darway Family Trust, dated 30 January 2001, this `Z p day of
2010.
Notary Public
HAYLEY MARIE KEY
Commission 1670198
Notary Public California
San Luis Obispo County
My Comm. Expires May 26, 2010
CALIFORNIA ALL PURPOSE ACKNOWLEDGMENT
G, �J3C�v,. r�S�4� �,1,�C�c��.,.�.'�ca��C, -c�C ��r�v�n.�.d- aC�A!c� v.�.',.c�G����C�c�C�v- ��C�C!ac,�S�S G��J:�S�- �.'v!�t!
State of California
.In
LM
County of
On 112—W110
i o
Date
personally appeared
before
HAYLEY MARIE KEY
r f+� Commission 167019
a g Notary Public California
e San Luis Obispo County
My Comm. Expires May 26.201 n1
Place Notary Seal Above
me,
Though the information below is not required by law, it may prove valuable to persons relying on the document
and could prevent fraudulent removal and reattachment of this form to another document.
Description of Attached Document
Title or Type of Document:
Document Date: Number of Pages:
Signer(s) Other Than Named Above:
Capacity(ies) Claimed by Signer(s)
Signer's Name:
Individual
Corporate Officer Title(s):
Partner Limited General
Attorney in Fact
Trustee
Guardian or Conservator
Other:
Signer Is Representing:
RIGHT THUMBPRINT
OF SIGNER
Top of thumb here
2004 National Notary Association 9350 De Soto Ave., P.O. Box 2402 Chatsworth, CA 91313 -2402
racurie
Name and Title of lam' "Jane Doe, Notary Public')
Y
Name(s) ot/Signer(s)
per on known to me
ed to me on the basis of satisfactory evidence
ti be the person(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
authorized capacity(ies), and that by his /her /their
signature(s) on the instrument the person(s), or the
entity upon behalf of which the person(s) acted,
executed the instrument.
WITNES hand an official se
OPTIONAL
ary Public
Signer's Name:
Individual
Corporate Officer Title(s):
Partner Limited General
Attorney in Fact
Trustee
Guardian or Conservator
Other:
Signer Is Representing:
e s0(1 l5
RIGHT THUMBPRINT
OF SIGNER
Top of thumb here
G."etCwt'%::✓W: ✓:W:`e rWW0– .`v ✓':.We4W .v✓'��>.:✓:: 7,W4v: enK•D.W4" Jik✓: "✓",:J'WV., 4Kg:Q€ /t4 T,,x<I •14W
Item No. 5907 Reorder: Call Toll -Free 1- 800 -876 -6827