NOTARY PUBLIC FOR POWER OF ATTORNEY

I. INTRODUCTION

This document stands as a formal certification to verify that [Your Name], who has been properly sworn in and established as a lawful notary public within the jurisdiction of the state of [Your State], has successfully performed their authorized duties as prescribed by law. This includes having provided witness to, as well as having carried out the official authentication of, the signing process of a legal document known as the Power of Attorney.

II. PARTIES INVOLVED

The parties involved in this transaction are:

• [Principal's Name]: The individual granting power of attorney.

• [Agent's Name]: The individual being appointed as the agent.

• [Notary's Name]: The notary public overseeing the signing.

III. DETAILS OF POWER OF ATTORNEY

The Power of Attorney document includes the following details:

• Type of Power of Attorney: [General/Special/Limited]

• Effective Date: [Date]

• Scope of Authority: [Brief description of powers granted]

IV. SIGNING DETAILS

The signing of the Power of Attorney took place on:

• Date: [Date]

• Location: [Location]

V. NOTARY CERTIFICATION

I, [Notary's Name], hereby certify the following:

• That on the date mentioned above, [Principal's Name] appeared before me and acknowledged signing the Power of Attorney voluntarily.

• I positively identified [Principal's Name] as the person described in and who executed the Power of Attorney.

• I am satisfied that [Principal's Name] is of sound mind and under no duress or undue influence.

• I witnessed the signing of the Power of Attorney by [Principal's Name].

• I have affixed my official seal and signature to this document under the laws of the state of [Your State].

VI. NOTARY COMMISSION DETAILS

• Commission Number: [Commission Number]

• Commission Expiry Date: [Expiry Date]

• County of Commission: [County]

• State of Commission: [State]

VII. NOTARY'S PUBLIC STATEMENT

I, [YOUR NAME], hereby certify under penalty of perjury under the laws of [YOUR STATE] that the foregoing is true and correct.

IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal on the date mentioned above.

[YOUR NAME] Signature:
Date: [DATE OF NOTARIZATION]

VIII. NOTARY SEAL

(Place Notary Seal Here)

IX. 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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