SAMPLE FORM

ACKNOWLEDGEMENT OF CORPORATION

STATE OF               Kansas¹      )
                                                       )ss
COUNTY OF           Johnson²     )

            The foregoing instrument was acknowledged before me this    21st   day of

           April         , 2001³, by              Ray Dane, President⁴                                  

(name of officer or agent, title of officer or agent) of                    MIN Corp.⁵            

(name of corporation acknowledging) a                  Kansas⁶              (state or place

of incorporation) corporation, on behalf of the corporation.

                                                                        _______________________⁷
                                                                        Signature

                                                                                          Notary Public⁸          
                                                                        Title

This is not a substitute for legal advice.  An attorney must be consulted.
Copyright © 2003 by LAWCHEK, LTD.

1. The state in which the document is acknowledged.
2. The county in which the document is acknowledged.
3. The date the document is signed.
4. The full name and title of the representative of the corporation.
5. The full name of the corporation.
6. The sate in which the corporation is located.
7. The signature of the person notarizing the document.
8. The title of the person notarizing the document.