Notarized Support Document
State of Texas
County of Dallas
Date: August 27, 2050
PERSONAL MATTERS CERTIFICATION
I, [Your Name], a Notary Public in and for the State of Texas, hereby certify the following:
1. Identification of Signatory
I have personally met and verified the identity of Jane Doe, who is known to me and has provided satisfactory identification. Jane Doe has appeared before me and has affirmed her identity.
2. Document Details
The document in question, which is titled "Health Care Directive" and dated August 27, 2050, was presented to me for notarization. The purpose of this document is to certify the identity and signature for a health care directive.
3. Verification and Acknowledgment
I have witnessed the signature of Jane Doe on this document. Jane Doe has declared to me that the document was executed voluntarily and that she understands its contents and implications.
4. Notarial Act
In my capacity as a Notary Public, I have verified the identity of the signatory, witnessed her signature, and confirmed that the document was signed willingly and without coercion.
5. Notary Public Information
Name of Notary Public: [Your Name]
Notary Public Commission Number: NPCN-977140
My Commission Expires: January 15, 2060
Address: [Your Company Address]
Phone Number: [Your Company Number]
6. Notary Seal and Signature
[Seal]
[Your Name]
Notary Public
August 27, 2050
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