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410 • <br /> Name of Bank )(� <br /> By: • <br /> 'n <br /> Address: �2' 60e_ <br /> Title: ��� e7 <br /> Telephone No.: Sc.- a <br /> Contact Person: ( t<:. �x-l1. w e./<(z <br /> 1. For an acknowledgement in an individual capacity: <br /> STATE OF WASHINGTON, <br /> )ss <br /> COUNTY OF SNOHOMISH <br /> I certify that I know or have satisfactory evidence that <br /> signed this instrument and acknowledged it to be(his,her,their) free and voluntary act for the <br /> uses and purposes mentioned in the instrument. <br /> Dated: <br /> Signature of Notary Public <br /> Notary(print name) <br /> Residing at: <br /> My commissions expires: <br /> (Seal or Stamp) <br /> Assignment of Funds,Page,' <br />