RECORDING REQUESTED BY: Your Full Name AND WHEN RECORDED MAIL TO: Your Name Address 1 City,

California APN#:

CERTIFICATE OF ACKNOWLEDGMENT AND ACCEPTANCE I, Name without last nameFamily Last Name, the living man, and Name without last name family last Name, the living woman, in the capacity of Entire Name exactly as listed on Warranty Deed including Capitalization, am recorded as the Grantee on the Warranty Deed for that real estate described as INSERT COMPLETE PROPERTY DESCRIPTION FROM WARRANTY OR DEED HERE ALL THAT TRACT OR PARCEL OF LAND LYING AND BEING IN LAND LOT XXX OF THE XXX DISTRICT OF XXXXXX COUNTY, GEORGIA, BEING LOT XX, FILED FOR RECORD AT PLAT BOOK XX, PAGE XX On the attached certified copy of said Warranty Deed. It is my free will, act, and deed to Acknowledge my Acceptance of the Warranty Deed recorded in Plat Brook, _____, Page ____, Name of CountyCounty, State, and the lawful ownership of the property under the terms of the Warranty Deed. I ask that the record on file in the Office of the Superior Court Clerk, Name of County County, State, be updated to show my Acceptance of the Warranty Deed, and to show Entire Name exactly as listed on Warranty Deed including Capitalization as the lawful owner of that real estate. This is my free will, act, and deed, under my hand and seal: ___________________________ ________________________________ Third Party Witness Name without last nameFamily Last Name __________________________ ________________________________ Third Party Witness Name without last name Family Last Name State of ____________________) Countyof ____________ ACKNOWLEDGMENT AND ACCEPTANCE On _____________ before me, _____________________ , Notary Public, Personally appeared _____________, who proved to me on the basis of satisfactory evidence to be the person (s) whose name (s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature (s) on the instrument the person (s), or the entity upon behalf of which the person (s) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and seal. _____________________________ Notary Public: __________________________ My Commission Expires: _________________