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:..........................