I, [Notary Name], who have been properly commissioned as a Notary Public within the jurisdiction of the State of [State Name], and currently residing at [Notary Address], do solemnly certify and declare under the potential penalties of perjury, the implication being that:
I am a currently commissioned Notary Public in the State of [State Name], and my commission is in full force and effect.
On [Date of Presentment], I presented the following document to [Recipient Name], located at [Recipient Address], for [Purpose of Presentment], as follows:
Title of Document: [Document Title]
Date of Document: [Document Date]
On the date previously mentioned, I was personally present and observed the event in which the document was formally presented to [Recipient Name].
[Recipient Name] acknowledged the receipt of the document, and he/she/they had the opportunity to review and/or sign the document as required.
I, hereby, on the specified date known as [Date of Certification], confirm that I am attaching or affixing my official signature and the recognized seal to this specific legal document referred to as the Affidavit of Notary Presentment Certification.
Witness Name: [Witness Name]
Witness Address: [Witness Address]
Name: [Notary's Public Name]
Date: [Date of Notarization]
Notary Seal:
[Attach Notary Seal Here]
Templates
Templates