Signatory Name: [Signatory Name]
Signatory Address: [Signatory Address]
Signatory Contact Information: [Signatory Contact Information]
Date of Notarial Act: [Date of Notarial Act]
Type of Notarial Act: [Type of Notarial Act]
Document(s) Notarized:
Affidavit of Identity
Affidavit of Residence
Purpose of Notarial Act: To verify the identity and residency of the signatory for legal proceedings.
Type of Identification Presented: [Type of Identification Presented]
Identification Document Details:
Document Type: [Document Type]
Document Number: [Document Number]
Issuing Authority: [Issuing Authority]
Date of Issuance: [Date of Issuance]
Expiration Date: [Expiration Date]
Name of Notary Public: [Your Name]
Notary Commission Number: [Notary Commission Number]
Commission Expiration Date: [Commission Expiration Date]
State of Commission: [State of Commission]
Witnesses Present (if any):
[Witness 1 Name]
[Witness 2 Name]
Additional Comments: [Additional Comments]
Total Number of Pages: [NUMBER OF PAGES]
Full Title of Document: [DOCUMENT TITLE]
Date of Document: [DOCUMENT DATE]
Notarial Language and Jurat/Acknowledgement: [NOTARIAL LANGUAGE AND JURAT OR ACKNOWLEDGEMENT]
I, the undersigned Notary Public, certify that the above information is true and accurate to the best of my knowledge and belief.
[NOTARY PUBLIC NAME]
[DATE SIGNED]
Seal: (Place Notary Seal Here)
Templates
Templates