Borrowers' Certification of Notary Duties

  I signed. Furthermore, I hereby attest that the following was fulfilled:

• The notary has provided me with copies of the entire loan package.
• Specifically, the notary has provided me with a copy of the Truth in Lending Disclosure as well as three copies of the Notice of Right to Cancel/Rescission Notice.
• The transaction date on all copies of the Notice of Right to Cancel/Rescission Notice is complete with today's date of ___________ and the final day to cancel is complete with the date of _____________.
• The notary did not express personal opinions about my loan nor did he or she attempt to sway or discourage me from this loan in any way.

  I chose not to sign. Furthermore, I hereby attest that the following was fulfilled:

• The notary did not express personal opinions about my loan nor did he or she attempt to sway or discourage me from this loan in any way.
• The notary did not use the rescission period as a tool to convince me to sign. If I have signed this loan with the intent to use this period to make a final decision, I did so under my own volition and without council from the notary.

	_______________________	________________	_______________________	________________
	Borrower's Signature	Date	Borrower's Signature	Date

State of

______________________________________

County of

______________________________________

Subscribed and sworn to (or affirmed) before me on

this __________ day of ___________________________, 20__________,

by ______________________________________________ personally known to me or proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me.

	(Seal)	Signature _______________________________
		Notary Public