5 ILCS 312/6-105

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). ____________________________ (Signature of Notary Public) (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). _______________________________ (Signature of Notary Public) (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). _______________________________ (Signature of Notary Public) (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). _______________________________ (Signature of Notary Public) (Seal)