Printable Notary Form

Document Details

Type of Document:

Number of Pages:

Date of Document:

State of
County of

On this Day day of Month, Year, before me, personally appeared Name(s), who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) subscribed to the within instrument, and acknowledged that they executed the same in their authorized capacity, and that by their signature on the instrument, the person(s) executed the instrument.

I certify under penalty of perjury under the laws of the State of State Name that the foregoing paragraph is true and correct.

WITNESS my hand and official seal.

Name:

Date:

My Commission Expires:
Commission Number:

Official Seal

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