The following describes the general content of the document that is to be acknowledged:
Document Title | [Document Title] |
---|---|
Document Date | [Document Date] |
The following details are about the person whose identity was verified and who acknowledged signing the document:
Name | [Signer's Name] |
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Address | [Signer's Address] |
The identity who signed the document was authenticated and confirmed using methods that are deemed acceptable and are by the guidelines described in the following sections of this document:
Type of Identification Document: Driver's License
Identification Number: DL123456789
Issuing Authority: [Authority Name]
Date of Issue: January 1, 2050
I, [Your Name], a Notary Public for the state of [Your State], hereby confirm that on this day, before me, [Signer's Name], who I verified through reliable means and acknowledged that they executed the aforementioned document willingly and for the purposes contained therein.
In the context of the punitive measures that may be imposed upon me for perjury, I hereby provide certification that the statement or information provided above is accurate and correct, to the best of my knowledge, understanding, and belief. This is under the acceptance that the authority granted to me under my commission, shall lapse or come to an end on the date provided as [Your Commission Expiration Date].
Name: [Witness Name]
Address: [Witness Address]
Name: [Notary Public Name]
Notary Seal:
[Attach Notary Seal Here]
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