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Certificate Sample Forms
Acknowledgment (in an individual capacity)
State of _________________________
County of ________________________
This instrument was acknowledged before me on______ (date) by___________________________(name/s of person/s).
____________(Signature of Notary Public) (Seal)
We use this Short Form for an acknowledgment in an individual capacity. Taking of an acknowledgment consists of positively identifying the signer of a document. The signer need not sign in the notaryʼs presence but must personally appear before the notary and state that the signature on the document is his or hers.
Acknowledgments may be taken in an individual capacity or a representative capacity (as an authorized representative of another — for example, as an officer of a corporation for and on behalf of the corporation or as an attorney, in fact, for another person).
Acknowledgment (in a representative capacity)
State of _________________________
County of ________________________
This instrument was acknowledged before me on _____ (date) by ___________________________ (name/s of person/s) as _____________(type of authority, e.g., officer, trustee, etc.) of _______________________(name of party on behalf of whom instrument was executed.
___________(Signature of Notary Public) (Seal)
We use this Short Form for an acknowledgment in a representative capacity. Taking of an acknowledgment consists of positively identifying the signer of a document. The signer need not sign in the notaryʼs presence but must personally appear before the notary and state that the signature on the document is his or hers.
Acknowledgments may be taken in an individual capacity or a representative capacity (as an authorized representative of another — for example, as an officer of a corporation for and on behalf of the corporation or as an attorney, in fact, for another person).
Verification upon oath or affirmation (in an individual capacity)
State of _________________________
County of ________________________
Signed and sworn (or affirmed) to before me on ______ (date) by ______________ (name/s of person/s making statement).
___________ (Signature of Notary Public) (Seal)
We use this Short Form for verification upon oath or affirmation in an individual capacity. The verification upon oath or affirmation is a declaration that a statement is true and was made by a person upon oath or affirmation. The person requesting this notarial act must personally appear before the notary and sign the document in the notary's presence. The notary public is required to administer an oath.
There is no prescribed wording for the oath, but an acceptable oath would be: "Do you swear (or affirm) that the statements in this document are true?" Verification upon oath may be taken in an individual capacity or a representative capacity
Certificate Sample Forms
Verification upon oath or affirmation (in a representative capacity)
State of _________________________
County of ________________________
Signed and sworn (or affirmed) to before me on ______ (date) by ___________________________ (name/s of person/s) as _____________ (type of authority, e.g., officer, trustee, etc.) of __________________ (name of party on behalf of whom the instrument was executed.
___________ (Signature of Notary Public) (Seal)
We use this Short Form for verification upon oath or affirmation in a representative capacity. The verification upon oath or affirmation is a declaration that a statement is true and was made by a person upon oath or affirmation. The person requesting this notarial act must personally appear before the notary and sign the document in the notary's presence. The notary public is required to administer an oath.
There is no prescribed wording for the oath, but an acceptable oath would be: "Do you swear (or affirm) that the statements in this document are true?" Verification upon oath may be taken in an individual or representative capacity.
Witnessing or attesting a signature
State of _________________________
County of ________________________
Signed (or subscribed or attested) before me on _______(date) by ___________________________(name/s of person/s).
__________ (Signature of Notary Public) (Seal)
We use this Short Form to witness or attest to a signature. This form is used when we witness a signature on a document, and an oath is not necessary or required. The person requesting the notarial act must personally appear before the notary and sign the document in the notary's presence.
Signature-by-mark
State of _________________________
County of ________________________
This instrument was acknowledged before me on ______(date) by ____________________ (name of person), who made and acknowledged making his/her mark on the instrument in my presence and in the presence of two persons who have signed below.
__________(Signature of Notary Public) (Seal)
____________________________________________ (Signature and Address of Witness) ____________________________________________ (Signature and Address of Witness)
We use this form when an individual requests a notarial act and the signer is prevented by disability or illiteracy from writing a signature. Take these precautions: positively identify the individual; we ensure that there are two persons to witness the signature-by-mark in addition to the notary public; we write in the name of the signer-by-mark near the mark on the document and complete this form.