The following short form certificates of notarial acts are sufficient for the purposes indicated, if completed with the information required by RSA 456-B:7, I:
I. 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 notarial officer)
(Seal, if any)
___________________________
Title (and Rank)
[My commission expires: _____ ]
II. 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 notarial officer)
(Seal, if any)
___________________________
Title (and Rank)
[My commission expires: _____ ]
III. For a verification upon oath or affirmation:
State of _______________________
(County) of ____________________
Signed and sworn to (or affirmed) before me on(date) by(name(s) of person(s) making statement).
___________________________
(Signature of notarial officer)
(Seal, if any)
___________________________
Title (and Rank)
[My commission expires: _____ ]
IV. 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 notarial officer)
(Seal, if any)
___________________________
Title (and Rank)
[My commission expires: _____ ]
V. For attestation of a copy of a document:
State of _______________________
(County) of ____________________
I certify that this is a true and correct copy of a document in the possession of ____________________ .
Dated _______________
___________________________
(Signature of notarial officer)
(Seal, if any)
___________________________
Title (and Rank)
[My commission expires: _____ ]
VI. For certifying a tangible copy of an electronic record:
State of __________________
(County) of __________________
I certify that this record is a true and correct copy of an electronic record printed by me or under my supervision.
Dated __________________
_________________________
(Signature of notarial officer)
(Seal, if any)
Title (and Rank)
[My commission expires: ________ ]