The following short form certificates of notarial acts are sufficient for the purposes indicated, if completed with the information required by subsections 1 and 2 of section 44-06.1-14:

1. For an acknowledgment in an individual capacity: State of ___ [County] of ___ This record was acknowledged before me on __ by ____

Date 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 __ by ______

Date Name(s) of individual(s)

(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 __ by ______

Date 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 __ by ______

Date Name(s) of individual(s)

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

Stamp

[________]

Title of office

[My commission expires: __.]