On ________, before me, the
undersigned, a Notary Public for the State of California,
personally appeared ___________, a subscribing witness,
personally known to me, OR proved to me
on the oath of
_________, a credible witness, who is personally known to
me, who being duly sworn deposed and said that he/she
personally knows the subscribing witness. The
subscribing witness whose name is subscribed to the within
instrument, as a witness thereto, who, being duly sworn,
deposes and says that he/she personally knows the
principal and was present and saw ______________, the same person(s) described in and whose name(s) is/are subscribed
to the within and annexed instrument in his/her/their
capacity(ies), as a party(ies) thereto, execute or
acknowledge executing the instrument, and that said
subscribing witness subscribed his/her name to the within
instrument as a witness at the request of ______________
and principal requested subscribing witness to take and
have the instrument notarized.