The form for certificate of acknowledgment by individuals is as follows:
State of ____
County of ____
On this the ____ day of ____, 20__, before me, ____, the undersigned officer, personally appeared ____, known to me or satisfactorily proven to be the person whose name ____ subscribed to the within instrument and acknowledged that -- he -- executed the same for the purposes therein contained.
In witness whereof I hereunto set my hand and official seal.
___________________________
___________________________
Title of officer.