Proof of Execution by a Subscribing Witness

State of California

County of _____________

On __________ (date), before me, the undersigned, a notary public for the state, personally

appeared _________________ (subscribing witness’s name), personally known to me (or

proved to me on the oath of _________________ [credible witness’s name], who is

personally known to me) to be the person whose name is subscribed to the within

instrument, as a witness thereto, who, being by me duly sworn, deposed and said that he/she

was present and saw/heard acknowledged _________________ (name[s] of principal[s]),

the same person(s) described in and whose name(s) is/are subscribed to the within and

annexed instrument in his/her/their authorized capacity(ies) as (a) party (ies) thereto,

execute the same, and that said affiant subscribed his/her name to the within instrument as

a witness at the request of _________________ (name[s] of principal[s]).

WITNESS my hand and official seal.

_

__________________________

NOTARY PUBLIC SIGNATURE                                      

                                                                                                             NOTARY PUBLIC SEAL