CERTIFICATE OF SUBSCRIBING WITNESS State of New York ) ) ss.: County of ........ ) On the ...... day of ...... in the year ... before me, the undersigned, a Notary Public in and for said State, personally appeared ......, the subscribing witness to the foregoing instrument, with whom I am personally acquainted, who, being by me duly sworn, did depose and say that he/she/they reside(s) in ...... (if the place of residence is in a city, include the street and street number, if any, thereof); that he/she/they know(s) ...... to be the individual described in and who executed the foregoing instrument; that said subscribing witness was present and saw said ...... execute the same; and that said witness at the same time subscribed his/her/their name(s) as a witness thereto. (Signature and office of individual taking proof.)