NOTARIAL DEED
         (Original)        28th fiscal year No.______        
Name of the person for notarization :
Sex : female
Date of birth : September 5, 1925
Occupation ： none
ID card or other credentials
and their numbers：    ______
Home/office： ______        
Remarks:
Witness /Interpreter
Facts about private rights/name
Of credentials to be notarized： LETTER OF GUARANTEE
Third person's permit or agreement ： none
Subject and legal basis：
The guarantor came before me and affirmed that he/she has affixed his/her signature and seal onto the attached private LETTER OF GUARANTEE and a copy of it and related documents are found to be in conformity with the originals and with his/her status respectively. It is hereby notarized according to the provisions of Article 4 (6) of the Notary Act.
Interpreter/witness in presence： XXX
Date of issuance： This Notarial Deed is done at the Notary Office, ___，Taiwan, China

on______.
                                                           Applicant ： XXX
IN WITNESS WHEREOF, I execute this certificate and affix hereunto the official seal of the    

Notary Public of the District Court.
                                                      Notary Office,___District Court
(sealed)                                                             Taiwan, China
                                                            Notary： XXX (signed)


参考译文：
                      公证书（正本）
                    第28个财政年度，编号___
公证人姓名：    
性别：女
出生日期：1925年9月5日
职业：无
身份证或其他证件及其号码：
家庭/办公地址：
概况：
见证人或翻译：