Hospital Letter Template
Hospital Letter Template
Hospital Letter Template
:First-Middle; .Last:
Hospital
3330 Lomita Blvd
Torrance, CA 90505
United States
Autographed by Vincent Michael Williamson; a Man, a Living Soul on the 31 day of December,
2022 in the 44th year since Born alive.
_____________________________________________________
First-Middle; .Last:
Authorized representative for Your name here
UCC2-206 UCC3-104 UCC3-603 UCC3-419 UCC1-308 18USC8 POSTAL RULE APPIES
On ____________________________________ date before me, as Notary and as Jurat
Certificate of Acceptance by court officer, (Wife’s name here) personally appeared and proved to
me on the basis of satisfactory evidence to be the woman whose Name is subscribed to the
within attached instrument and acknowledged to me that she executed the same in her authorized
capacity, and that by her autograph on the instrument the woman executed, the instrument.
I certify under PENALTY OF PERJURY under the lawful laws of California and the STATE OF
___________________________________________
Notary Republic
Autographed by Your name here, a man, a Living Soul on the ______day of _______________,
_______________________________________________________
:First-Middlel; .last:
Authorized representative for VINCENT MICHAEL WILLIAMSON
UCC2-206 UCC3-104 UCC3-603 UCC3-419 UCC1-308 18USC8 POSTAL RULE APPIES
California
Certificate of Acceptance by court officer, (your name here) personally appeared and proved to
me on the basis of satisfactory evidence to be the man whose Name is subscribed to the within
attached instrument and acknowledged to me that he executed the same in his authorized
capacity, and that by his autograph on the instrument the man executed, the instrument.
I certify under PENALTY OF PERJURY under the lawful laws of California and the STATE OF
___________________________________________
Notary Republic