STATE OF HAWAI I ) ) ss. COUNTY OF KAUA I )

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1 Individual Notary STATE OF HAWAI I ) ) ss. COUNTY OF KAUA I ) On this day of,, before me personally appeared, who is personally known to me whose identity I proved on the basis of whose identity I proved on the oath/affirmation of, a credible witness: who being by me duly sworn or affirmed, did say that such person executed the foregoing instrument as the free act and deed of such person, and if applicable in the capacity shown, having been duly authorized to execute such instrument in such capacity. Notary Public, State of Hawai i Name of Notary: My Commission expires:

2 Trust Notary On this day of, 20, before me appeared, to me personally known, who, being by me duly sworn, did say that he/she is the Trustee of the, and that said instrument was signed on behalf of said Trust and said Trustee acknowledged said instrument to be the free act and deed of said Trust.

3 Hawai i Partnership Notary and, to me personally known, who, being by me duly sworn, did say that they are the Partners of, a Hawaii Partnership and that said instrument was signed on behalf of said Hawaii Partnership and said partner acknowledged said instrument to be the free act and deed of said Partnership.

4 Hawai i Limited Partnership Notary ) ss:, to me personally known, who, being by me duly sworn, did say that he/she is the General Partner of, a Hawaii Limited Partnership and that said instrument was signed on behalf of said Hawaii Limited Partnership and said partner acknowledged said instrument to be the free act and deed of said Limited Partnership.

5 Hawai i Limited Liability Company Notary, to me personally known, who, being by me duly sworn, did say that he/she is the Member of, a Hawaii Limited Liability Company and that said instrument was signed on behalf of said Hawaii Limited Liability Company and said officer acknowledged said instrument to be the free act and deed of said Limited Liability Company.

6 Hawai i Non-Profit Corporation Notary and, to me personally known, who, being by me duly sworn, did say that they are the and, respectively, of, a Hawaii non-profit corporation; that the seal affixed to the foregoing instrument is the seal of said corporation; that said instrument was signed and sealed on behalf of said corporation by authority of its Board of Directors; and said officers acknowledged said instrument to be the free act and deed of said corporation.

7 Hawai i Corporation Notary _ and, to me personally known, who, being by me duly sworn, did say that they are the and, respectively, of, a Hawaii corporation; that the seal affixed to the foregoing instrument is the seal of said corporation; that said instrument was signed and sealed on behalf of said corporation by authority of its Board of Directors; and said officers acknowledged said instrument to be the free act and deed of said corporation.

8 County of Kaua i Notary ) ss. On this day of, 20, before me appeared, to me personally known, who, being by me duly sworn, did say that he is the of the COUNTY OF KAUAI, a political subdivision of the State of Hawaii; that the seal affixed to the foregoing instrument is the seal of said COUNTY OF KAUAI, and that said instrument was signed and sealed on behalf of said COUNTY OF KAUAI by authority of its Charter; and said officer acknowledged said instrument to be the free act and deed of said COUNTY OF KAUAI.

9 State of Hawai i Notary ) ss. ) On this day of, 20, before me appeared, to me personally known, who, being by me duly sworn, did say that he is the of the STATE OF HAWAII,; that the seal affixed to the foregoing instrument is the seal of said STATE OF HAWAII, and that said instrument was signed and sealed on behalf of said STATE OF HAWAII and said officer acknowledged said instrument to be the free act and deed of said STATE OF HAWAII.

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