NOTARYS CERTIFICATE OF SERVICES

The services in this matter are done on behalf of _________________________, American

Citizen.
It is hereby certified that on the date noted below that the undersigned Notary Public mailed to:
ADDRESS
______________________________________
________________________________________
__________________________________________
Hereinafter, Recipient, the documents and sundry papers which include the following:
1.
2.
3.
4.

______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________

By certified mail number, __________________________________by placing the same in

postpaid envelope, properly addressed to Recipient at the said address and depositing the same at
an official depository under the exclusive face and custody of the U.S. Postal Service within the
State of Virginia.

State of ______________
County of ____________
Subscribed and sworn to (or affirmed) before me on this _____ day of ________, 2012 by
_____________________________proved to me on the basis of satisfactory evidence to be the
person(s) who appeared before me.

__________________________________ (Seal)
Notary Public
_________________________________
My commission Expires