Ill. Admin. Code tit. 14, § 176.865
1) For an acknowledgment in an individual capacity:
State of Illinois
County of
The foregoing instrument was acknowledged before me using an electronic notarization system provider on (date) by (name(s) of individual(s)).
(Signature of notary public)
Notary Public
(Electronic seal)
(My commission expires:)
2) For an acknowledgment in a representative capacity:
State of Illinois
County of
The foregoing instrument was acknowledged before me using an electronic notarization system provider 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 the instrument was executed).
(Signature of notary public)
Notary Public
(Electronic seal)
(My commission expires:)
3) For a verification on oath or affirmation:
State of Illinois
County of:
Signed and sworn to (or affirmed) before me using an electronic notarization system provider on (date) by (name(s) of individual(s) making statement).
(Signature of notary public)
Notary public
(Electronic seal)
(My commission expires:)
4) For witnessing or attesting a signature:
State of Illinois
County of:
Signed or attested before me on (date) by (name(s) of persons(s))
(Signature of notary public)
(Electronic seal)
(My commission expires:)
(Source: Added at 47 Ill. Reg. 8640, effective June 5, 2023)