ACKNOWLEDGMENT HUSBAND AND WIFE Page 1 of 3 (Space reserved for Clerk) ____________________________________________________________________________ HUSBAND AND WIFE Signed, witnessed, executed and acknowledged on this ________ day of _____________________, __________. Witnesses as to Husband: _________________________________ Signature _________________________________ Print Name _________________________________ Signature ________________________________ Signature (Husband) ________________________________ Print Name Address: ________________________________ _________________________________ Print Name ________________________________ ________________________________ Witnesses as to Wife: _________________________________ Signature _________________________________ Print Name _________________________________ Signature _________________________________ Print Name ________________________________ Signature (Wife) ________________________________ Print Name Address: _________________________________ _________________________________ _________________________________ [f:\forms\Acknowledgment Husband and Wife.doc (4/17/08] American LegalNet, Inc. www.FormsWorkflow.com ACKNOWLEDGMENT HUSBAND AND WIFE Page 2 of 3 (Space reserved for Clerk) ____________________________________________________________________________ NOTARY AS TO HUSBAND: STATE OF ________________ COUNTY OF ______________ The foregoing instrument was acknowledged before me by ___________________________, who is personally known to me or has produced ___________________________, as identification. Witness my signature and official seal this _____ day of _____________________, _______, in the County and State aforesaid. ____________________________________ Notary Public-State of _________________ My Commission Expires: ____________________________________ Print Name [f:\forms\Acknowledgment Husband and Wife.doc (4/17/08] American LegalNet, Inc. www.FormsWorkflow.com ACKNOWLEDGMENT HUSBAND AND WIFE Page 3 of 3 (Space reserved for Clerk) ____________________________________________________________________________ NOTARY AS TO WIFE: STATE OF ________________ COUNTY OF ______________ The foregoing instrument was acknowledged before me by ___________________________, who is personally known to me or has produced ___________________________, as identification. Witness my signature and official seal this _______ day of ______________________, ________, in the County and State aforesaid. ___________________________________ Notary Public-State of ________________ ___________________________________ Print Name My Commission Expires: [f:\forms\Acknowledgment Husband and Wife.doc (4/17/08] American LegalNet, Inc. www.FormsWorkflow.com