I. Identification Verification

This document is used by [Your Company Name], represented by [Your Name] from the [Your Department], as a means of confirming the identity of individuals signing legal documents, including contracts, affidavits, or other legal agreements.

II. Signer Information

1. Full Name: [Signer's Full Name]

2. Address: [Signer's Address]

3. Date of Birth: [Signer's Date of Birth]

4. Identification Type: [Type of Identification (e.g., Driver's License, Passport)]

5. Identification Number: [Identification Number]

6. Issuing Authority: [Authority that Issued the Identification]

7. Expiration Date: [Expiration Date of Identification]

III. Witness Information (if applicable)

If a witness is present to verify the identity of the signer, please provide the following information:

1. Witness Full Name: [Witness's Full Name]

2. Address: [Witness's Address]

3. Date of Birth: [Witness's Date of Birth]

4. Relationship to Signer: [Relationship to Signer, if any]

IV. Notary Certification

I, [Your Name], the undersigned notary public, certify that the above-named individual(s) personally appeared before me on this [Date], provided satisfactory evidence of identity, and acknowledged the execution of the document described above.

V. Notary Public Information

1. Notary Public Name: [Your Name]

2. Commission Expiration Date: [Notary Commission Expiration Date]

3. Notary Public Commission Number: [Notary Commission Number]

Notary Public Name: [YOUR NAME]

[DATE SIGNED]

Notary Seal (if applicable): [SEAL]

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