1. (a) The following short form notarial certificates shall be sufficient for the purposes indicated, if completed in conformance with the procedures required for a notarial act:

   1. (1) For an acknowledgment in an individual capacity:

      "State of ________________________________________

      County of ______________________________________

      This record was acknowledged before me on

      ________	by	______________________________
      Date		Name(s) of person(s)

      __________________________________

      Signature of notarial officer

      [Official 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

      ________	by	______________________________
      Date		Name(s) of person(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

      [Official 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

      ________	by	______________________________
      Date		Name(s) of person(s) making statement

      __________________________________

      Signature of notarial officer

      [Official 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

      ________	by	______________________________
      Date		Name(s) of person(s)

      __________________________________

      Signature of notarial officer

      [Official 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

      [Official Stamp]

      __________________________________

      Title of office

      My commission expires: _________"

   6. (6) For power of attorney in a representative capacity:

      "State of _________________________________________

      County of _______________________________________

      This instrument was signed before me on

      ________	by	______________________________
      Date		Name(s) of designee(s)

      as power of attorney of

      ________________________________________

      name of party on behalf of whom instrument was executed.

      _________________________________

      Signature of notarial officer

      [Official Stamp]

      __________________________________

      Title of office

      My commission expires: _________"

2. (b) When a notary public performs a notarial act for a remotely located individual, the notarial certificate shall contain a statement substantially as follows: "This notarial act involved the use of audiovisual communication technology."

(Authorized by K.S.A. 2022 Supp. 53-5a17; implementing K.S.A. 2022 Supp. 53-5a15 and 53-5a17; effective, T-7-6-30-22, June 30, 2022; effective Oct. 28, 2022; amended Dec. 29, 2023.)