CONNECTICUT NOTARY ACKNOWLEDGMENT

State of Connecticut
County of [COUNTY] ss. [TOWN/CITY]

On this the [MM/DD/YYYY] before me, [NOTARY PUBLIC NAME], the undersigned officer, personally appeared [SIGNER NAME(S)], known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that he/she/they executed the same for the purposes therein contained.

In witness whereof, I hereunto set my hand.

Signature of the Notary Public: ________________________
Date Commission Expires: [MM/DD/YYYY]
Printed Name of Notary Public: [NOTARY PUBLIC NAME]
Title of Officer: [NOTARY PUBLIC TITLE]

(Seal)