The following short form certificates of notarial acts are sufficient for the purposes indicated, if completed with the information required by § 4328(a) and (b) of this title:
(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) ________________________________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 Stamp [________________________________Title of office] [My commission expires: ________________]