CERTIFIED NOTARY PUBLIC
I. INTRODUCTION
This document serves as certification that [NOTARY PUBLIC'S NAME], who is a notary public that has been duly commissioned within the jurisdiction territory of [JURISDICTION], successfully meets every single one of the necessary qualifications and the required standards that have been set forth by the governing body of [GOVERNMENT AGENCY NAME].
II. NOTARY PUBLIC INFORMATION
Notary Public's Name: [NOTARY PUBLIC'S NAME]
Notary Public Commission Number: [COMMISSION NUMBER]
Commission Expiry Date: [EXPIRY DATE]
Jurisdiction of Commission: [JURISDICTION]
Notary Public Commission Issuing Authority: [ISSUING AUTHORITY]
Contact Information:
Address: [NOTARY PUBLIC'S ADDRESS]
Phone Number: [PHONE NUMBER]
Email Address: [EMAIL ADDRESS]
III. DOCUMENT DETAILS
Document Title: [DOCUMENT TITLE]
Document Date: [DOCUMENT DATE]
Document Description: [DOCUMENT DESCRIPTION]
IV. SIGNATORY INFORMATION
Signatory's Name: [SIGNATORY'S NAME]
Signatory's Title/Position: [SIGNATORY'S TITLE/POSITION]
Signatory's Organization: [SIGNATORY'S ORGANIZATION]
Signatory's Contact Information:
Address: [SIGNATORY'S ADDRESS]
Phone Number: [SIGNATORY'S PHONE NUMBER]
Email Address: [SIGNATORY'S EMAIL ADDRESS]
V. WITNESS INFORMATION (OPTIONAL)
Witness's Name: [WITNESS'S NAME]
Address: [WITNESS'S ADDRESS]
Phone Number: [WITNESS'S PHONE NUMBER]
Email Address: [WITNESS'S EMAIL ADDRESS]
VI. NOTARIZATION STATEMENT
I, [NOTARY PUBLIC'S NAME], a duly commissioned notary public within the jurisdiction of [JURISDICTION], do hereby certify that the above-mentioned document was presented to me on [DOCUMENT DATE] by [SIGNATORY'S NAME], who acknowledged that they executed the same freely and voluntarily for the purposes stated therein.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal on the date mentioned above.
Notary Signature:
Date: [DATE OF NOTARIZATION]
VII. NOTARY SEAL
(Place Notary Seal Here)
VIII. ACKNOWLEDGEMENT RECEIPT (OPTIONAL)
I, [RECIPIENT NAME], acknowledge the receipt of the notarized document titled [DOCUMENT TITLE] on [DATE OF RECEIPT].
Recipient Signature:
Date: [DATE OF RECEIPT]
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