Jurat Notary Form
I. Identity Verification
This is to certify that on [Date], before me, [Your Name], a Notary Public in and for the [Your Company Address] of [State], personally appeared [Signer's Name], known to me (or proved to me based on satisfactory evidence) to be the person whose name is subscribed to the within instrument, and acknowledged to me that they executed the same in their authorized capacity and that by their signature on the instrument, the person, or the entity upon behalf of which the person acted, executed the instrument.
II. Affiant Information
They provided the following information for identification purposes:
Name: [Signer's Name]
Address: [Signer's Address]
Date of Birth: [Signer's Date of Birth]
Identification: [Driver's License, DL123456789]
III. Document Details
The document for which this Jurat Notary Certificate is executed is described as follows:
IV. Oath or Affirmation
They also acknowledged that they have taken the oath or affirmation set forth below:
"I, [Signer's Name], do solemnly swear (or affirm) that the contents of this document are true and correct to the best of my knowledge, belief, and understanding. I understand that I am swearing (or affirming) under penalty of perjury."
V. Indemnification
The signer hereby agrees to indemnify and hold harmless the Notary Public, [Your Company Name], and its agents, from any claims, demands, losses, liabilities, costs, and expenses (including reasonable attorney fees) arising out of or relating to the execution of this document.
VI. Entire Agreement
This Notary Certificate constitutes the entire agreement between the parties and supersedes all prior and contemporaneous agreements, understandings, negotiations, and discussions, whether oral or written.
Printed Name of Signer: [Signer Name]
Date: [Date Signed]
Printed Name of Notary Public: [Your Name]
Date: [Date Signed]
Notary Seal (if applicable): [Seal]
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