The following short form certificates of notarial acts are sufficient for the purposes indicated, if completed with the information required by section 9B.15, subsections 1 and 2:

1. 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. 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. 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. 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. 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:........................]

2012 Acts, ch 1050, §15, 60

Referred to in §9B.14A, 9B.15