TEXAS

Individual

STATE OF

COUNTY OF

This instrument was acknowledged before me on the (date) by (name or names of person or persons acknowledging).

Notary Public in and for the State of

Printed Name:

Commission Expires:

Partnership

STATE OF

COUNTY OF

This instrument was acknowledged before me on (date) by (name of acknowledging partner or partners), partner(s) on behalf of (name of partnership), a partnership.

Notary Public in and for the State of

Printed Name:

Commission Expires:

Corporate

STATE OF

COUNTY OF

This instrument was acknowledged before me on (date) by (name of officer), (title of officer of (name of corporation acknowledging), a (state of incorporation) corporation, on behalf of said corporation.

Notary Public in and for the State of

Printed Name:

Commission Expires:

Attorney in Fact

STATE OF

COUNTY OF

This instrument was acknowledged before me on (date) by (name of attorney in fact), as attorney in fact on behalf of (name of principal).

Notary Public in and for the State of

Printed Name:

Commission Expires:

Partnership

STATE OF

COUNTY OF

This instrument was acknowledged before me on (date) by (name of acknowledging partner or partners), partner(s) on behalf of (name of partnership), a partnership.

Notary Public in and for the State of

Printed Name:

Commission Expires: