§ 5368. Short-form certificates
The following short-form certificates of notarial acts shall be sufficient for the purposes indicated, if completed with the information required by subsections 5367(a) and (b) of this chapter:
(1) For an acknowledgment in an individual capacity:
State of Vermont [County] of ____________________________________ This record was acknowledged before me on _____________________ by ____________
Date ________ Name(s) of individual(s)____________________________
Signature of notary public _______________________________________
Stamp ____________ [__________________]
Title of office____________ [My commission expires: ____________]
(2) For an acknowledgment in a representative capacity:
State of Vermont [County] of _____________________________________
This record was acknowledged before me on __________ by ____________ Date ________ 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 notary public __________________
Stamp [________________________]
Title of office ____________ [My commission expires: ____________ ]
(3) For a verification on oath or affirmation:
State of Vermont [County] of __________________
Signed and sworn to (or affirmed) before me on ____________ by __________________
Date ____________
Name(s) of individuals making statement __________________
Signature of notary public __________________
Stamp [________________________]
Title of office____________ [My commission expires: ____________ ]
(4) For attesting a signature:
State of Vermont [County] of __________________
Signed [or attested] before me on ____________ by __________________ Date ________ Name(s) of individual(s) __________________
Signature of notary public __________________
Stamp [________________________]
Title of office ____________ [My commission expires: ____________]
(Added 2017, No. 160 (Adj. Sess.), § 1, eff. July 1, 2019.)