The following short form certificates of notarial acts are sufficient for the purposes indicated, if completed with the information required by § 4327(a) of this title:
(1) For an acknowledgment in an individual capacity:
State of ________________________________
County of ________________________________
This instrument was acknowledged before me on (date) by (name(s) of person(s)).
________________________________________________________________(signature of notarial officer)
(Seal)
________________________________________________________________(title and rank)
(my commission expires:
(2) For an acknowledgment in a representative capacity:
State of ________________________________
County of ________________________________
This instrument was acknowledged before me on (date) by (name(s) of person(s)) as (type of authority, e.g., officer, trustee, etc.) of (name of party on behalf of whom instrument was executed).
________________________________________________________________(signature of notarial officer)
(Seal)
________________________________________________________________(title and rank)
(my commission expires:
(3) For a verification upon oath or affirmation:
State of ________________________________
County of ________________________________
Signed and sworn to (or affirmed) before me on (date) by (name(s) of person(s) making statement).
________________________________________________________________(signature of notarial officer)
(Seal)
________________________________________________________________(title and rank)
(my commission expires:
(4) For witnessing or attesting a signature:
State of ________________________________
County of ________________________________
Signed and attested before me on (date) by (name(s) of person(s)).
________________________________________________________________(signature of notarial officer)
(Seal)
________________________________________________________________(title and rank)
(my commission expires:
(5) For attestation of a copy of a document:
State of ________________________________
County of ________________________________
I certify that this is a true and correct copy of a document in the possession of (name(s) of person(s).
________________________________________________________________(signature of notarial officer)
(Seal)
________________________________________________________________(title and rank)
(my commission expires: