9B.16 Short form certificates.
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. 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. 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. 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. 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. 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