(d) A jurat executed pursuant to this section shall be in the following form: ---------------------------------- |A notary public or other officer | |completing this | | | |certificate verifies only the | |identity of | |the | |individual who signed the | |document to which | |this | |certificate is attached, and not | |the | |truthfulness, | |accuracy, or validity of that | |document. | ----------------------------------
State of California
County of _______________
Subscribed and sworn to (or affirmed) before me on this _____ day of _______, 20__, by _________________________, proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me.
Seal________________________
Signature___________________