The following short form certificates of notarial acts are sufficient for the purposes indicated, if completed with the information required by subsections (a) and (b), section fifteen of this article:

(1) For an acknowledgment in an individual capacity:

State of  ……………………………….

County of  ……………………………..

This record was acknowledged before me on ………….. [Date] by …………………………………. [Name(s) of individual(s)]……………………………………………………

Signature of notarial officer

Stamp

Title of office …………………………………….

My commission expires: ……………………..

(2) For an acknowledgment in a representative capacity:

State of ………………..

County of ………………..

This record was acknowledged before me on ………….. [Date] by ………………………………………………. [Name(s) of individual(s)] as ………………………. [Type of authority, such as officer or trustee] of …………………….. [Name of party on behalf of whom record was executed].

…………………………

Signature of notarial officer

Stamp

Title of office………………………………….

My commission expires: ……………………..

(3) For a verification on oath or affirmation:

State of ………………..

County of ………………..

Signed and sworn to (or affirmed) before me on ………… (Date) by ……………………………………………. [Name(s) of individual(s) making statement]

…………………………

Signature of notarial officer

Stamp

Title of office ………………………………………

My commission expires: ……………………..

(4) For witnessing or attesting a signature:

State of ………………..

County of ………………..

Signed or attested before me on …………………. [Date] by ……………………………….. [Name(s) of individual(s) making statement]

…………………………

Signature of notarial officer

Stamp

Title of office ……………………………………..

My commission expires: ……………………..

(5) For certifying a copy of a record:

State of ………………..

County of ………………..

I certify that this is a true and correct copy of a record in the possession of ………………………………..

Dated ………………………

…………………………

Signature of notarial officer

Stam

Title of office …………………………………….

My commission expires: ……………………..