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<br />TENANT: <br /> <br />CONGRESSMAN RICK LARSEN <br /> <br /> <br /> <br /> <br />Signature: ____________________________ <br /> <br />Name of Signer: Rick Larsen <br />Title of Signer: U.S. Representative <br /> <br /> <br /> <br /> <br />STATE OF WASHINGTON <br />} ss. <br />COUNTY OF <br />This record was acknowledged before me on ___________________, 20 25 by <br />__________________________ as the ___________ of ________________, a <br />________________. <br /> <br />[Stamp Below] <br /> Signature <br /> NOTARY PUBLIC in and for the State of Washington <br /> My Commission <br />Expires <br /> <br /> <br /> <br />