"State of ________________________________________
County of ______________________________________
This record was acknowledged before me on
________ by ______________________________
Date Name(s) of person(s)
__________________________________
Signature of notarial officer
[official Stamp]
__________________________________
Title of office
My commission expires: _________ "
"State of _________________________________________
County of _______________________________________
This record was acknowledged before me on
________ by ______________________________
Date Name(s) of person(s)
as [type of authority, such as officer or trustee] of [name of party on behalf of whom record was executed].
__________________________________
Signature of notarial officer
[official Stamp]
__________________________________
Title of office
My commission expires: _________ "
"State of _________________________________________
County of _______________________________________
Signed and sworn to (or affirmed) before me on
________ by ______________________________
Date Name(s) of person(s)
making statement
__________________________________
Signature of notarial officer
[official Stamp]
__________________________________
Title of office
My commission expires: _________ "
"State of _________________________________________
County of _______________________________________
Signed (or attested) before me on ________ by _____________________
Date Name(s) of person(s)
__________________________________
Signature of notarial officer
[official Stamp]
__________________________________
Title of office
My commission expires: _________ "
"State of _________________________________________
County of _______________________________________
I certify that this is a true and correct copy of a record in the possession of _______________________________. Dated ______________________
________________________________
Signature of notarial officer
[official Stamp]
__________________________________
Title of office
My commission expires: _________ "
"State of _________________________________________
County of _______________________________________
This instrument was signed before me on
________ by ________________________
Date Name(s) of designee(s)
as power of attorney of ________________________________________
name of party on behalf of whom instrument was executed.
_________________________________
Signature of notarial officer
[official Stamp]
__________________________________
Title of office
My commission expires: _________ "
Kan. Admin. Regs. § 7-43-17