The following short form certificates of notarial acts are sufficient for the purposes indicated.
     (a) For an acknowledgment in an individual capacity:
State of _________________
County of ________________
     This instrument was acknowledged before me on ___________(date) by ___________________(name/s of person/s).
 

(Seal)
 
     (b) For an 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).
 

(Seal)
 
     (c) For a verification upon oath or affirmation:
State of _________________
County of_________________
     Signed and sworn (or affirmed) to before me on _________(date) by _____________________(name/s of person/s making statement).
 

(Seal)
 
     (d) For witnessing or attesting a signature:
State of_________________
County of _______________
     Signed or attested before me on __________(date) by __________________(name/s of person/s).
 

(Seal)