Free Oregon Notary Acknowledgement Form

An Oregon notary acknowledgement is a written certificate that a notary public completes to show that a named person acknowledged a document before the notary. Oregon law gives short-form certificate wording for individuals and for people who sign for someone else.[1.2] It also sets what the notary's stamp must show.[1.3] Download the free Oregon notary acknowledgment form above, fill it in, and take it to a notary.

Last Updated: October 2026. This guide is reviewed and updated regularly to reflect current Oregon law. If you notice an error or outdated information, please contact us.

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Oregon Notary Laws and Resources

Oregon law sets what a notary's certificate must do and how the notary's stamp must look. By signing the certificate, the notary states that the legal steps for the notarial act were followed.[1.1]

An Oregon certificate of a notarial act has these requirements:

  • By signing a certificate of a notarial act, the notarial officer certifies that the officer has complied with the requirements and made the determinations listed in ORS 194.225, 194.230, 194.235 and 194.240.
  • The notarial officer may not sign the certificate, or attach or logically associate the signature with it, until the notarial act has been performed.
  • If the notarial act concerns a paper record, the certificate must be part of the record or securely affixed to it.
  • If the notarial act concerns an electronic record, the certificate must be attached to or logically associated with the electronic record.[1.1]

The official stamp of a notary public has its own rules. The stamp must include the notary public's name, jurisdiction, commission expiration date and other information the Secretary of State requires by rule. It must also be a legible imprint that can be copied together with the record it is affixed or attached to, or logically associated with. Under Oregon law, the official stamp is an official notarial seal for all purposes.[1.3]

Notaries work from the State of Oregon Notary Public Guide, a handbook the Oregon Secretary of State publishes for them. For more examples of certificate wording, see the State of Oregon Notarial Certificate.

Oregon Notary Acknowledgment Wording

Oregon law sets out short-form certificates of notarial acts. A short form is sufficient for the purposes indicated if it is completed with the information required by ORS 194.280 (1) to (3).[1.2] The wording depends on how the person acts:

  • An individual acting in his or her own right may acknowledge a document.
  • A document signed for another person or an entity may be acknowledged in a representative capacity.
  • A person may sign a statement on oath or affirmation, and the certificate says it was signed and sworn to or affirmed before the officer.

For an acknowledgment in an individual capacity, the statutory form reads:

State of _________ County of _________ This record was acknowledged before me on (date) ______ by (name(s) of individual(s)) _________. Signature of notarial officer: ____________ Stamp (if required): Title of office: ____________ My commission expires: _________

Or. Rev. Stat. § 194.285

The table shows what the wording adds for each type of certificate.[1.2]

CertificateWhat the wording addsStatute
Individual capacityThe date and the name(s) of the individual(s) who acknowledged the record§ 194.285[1.2]
Representative capacityThe type of authority, such as officer or trustee, and the name of the party on whose behalf the record was executed§ 194.285[1.2]
Verification on oath or affirmationThe words "Signed and sworn to (or affirmed) before me" and the name(s) of the individual(s) making the statement§ 194.285[1.2]

People also call this certificate the notary block or the notarial wording. Whatever the name, it is the part of the page that the notary completes and signs.

How to Notarize a Document in Oregon

Getting a document notarized in Oregon usually takes one short visit to a notary public. The steps below walk you through that visit. The next section shows how the acknowledgment template itself is filled in.

  1. Choose a notary in Oregon. Meet a notary at an office, such as a bank or a shipping store, or ask a mobile notarization service to come to you. Procedures and fees can differ from one notary public to the next, so confirm the details when you book.
  2. Get your documents ready. Read each document so you know what the notary public will notarize, and bring every page that needs a notarization. Fill in everything except the signature lines before the appointment.
  3. Bring a photo ID. Oregon law requires a notary who takes your acknowledgment to determine, from personal knowledge or satisfactory evidence of your identity, that you are the person you claim to be and that the signature on the record is yours (ORS 194.230).[1.4] Many notaries ask for a photo ID before they start. Check that the name on your documents matches the name on your ID, because the certificate names the individual who acknowledged the record.[1.2]
  4. Sign in front of the notary if asked. Many notaries prefer to watch you sign, so wait until the notary tells you to sign. Then confirm that the signature on the record is yours.
  5. Let the notary complete the certificate. The notarial officer may not sign the certificate until the notarial act has been performed.[1.1] The notary then completes the certificate, signs it and adds the official stamp.[1.3]
  6. Pay the fee and take your papers. Notaries usually charge a fee for their service, so ask about it when you book. For a paper record, the certificate must be part of the record or securely affixed to it.[1.1] Leave with both and give them to the office that asked for the notarization.

Remote online notarization is available in Oregon. Under ORS 194.277, you can use communication technology to appear before a notary public, and a notary public located in Oregon may perform the notarial act for you when the conditions of that section are met.[1.5]

Before an Oregon notary public performs a first notarial act for a remotely located individual, the notary must notify the Secretary of State and identify the technologies the notary intends to use. The communication technology and identity proofing the notary uses must meet any standards the Secretary of State has set.[1.5]

How to Fill Out the Oregon Notary Acknowledgment Template

The FormsPal template has three parts: an acknowledgment on page 1, and an individual and a representative block on page 2. Fill in the blanks for the part that fits your situation. The notary completes the signature, seal and commission lines.

The screenshots under each step show the FormsPal Oregon notary acknowledgement template filled with sample entries in blue, so you can see where each answer goes. The names, addresses, dates and amounts are examples only.

  1. Complete the ACKNOWLEDGMENT on page 1. Fill in the STATE OF and COUNTY OF lines. Then enter the date after On, the notary's name after before me, the name of the person who personally appeared, and the state in the penalty of perjury sentence. Leave the Signature line and the (seal) for the notary.
    Oregon notary acknowledgement: Notary acknowledgement or.1.state of, Notary acknowledgement or.2.county of and more, filled with sample entries
    Step 1: sample entries, not a real document.
  2. Complete the individual acknowledgment block on page 2. Use this block when one person acknowledges a record in his or her own right. Enter State of, County of, the date and the individual's name. The notary adds the officer's signature, the title of office, the commission expiration date and the stamp if required.
    Oregon notary acknowledgement: Notary acknowledgement or.8.state of, Notary acknowledgement or.9.county of and more, filled with sample entries
    Step 2: sample entries, not a real document.
  3. Fill in the representative acknowledgment block on page 2. Use this block when a person signs for someone else or for an entity. Enter State of, County of, the date, the individual's name, the type of authority, such as officer or trustee, and the party on whose behalf the record was executed. The notary completes the signature, title, commission and stamp lines.
    Oregon notary acknowledgement: Notary acknowledgement or.15.state of, Notary acknowledgement or.16.county of and more, filled with sample entries
    Step 3: sample entries, not a real document.

Frequently Asked Questions

Does Oregon provide a statutory individual acknowledgment certificate form for a notary acknowledgement?

Yes. Section 194.285 of the Or. Rev. Stat. gives a short-form certificate for an acknowledgment in an individual capacity. It names the state, the county, the date and the individual who acknowledged the record. It ends with the notarial officer's signature, the stamp if required, the title of office and the commission expiration date.[1.2]

What is the difference between an Oregon acknowledgment and a verification on oath or affirmation?

In an acknowledgment, the certificate says the record was acknowledged before the notary on a stated date. In a verification on oath or affirmation, the certificate says the statement was signed and sworn to, or affirmed, before the notary.[1.2]

Does every document need a notarization?

No. Only a document that calls for a notarization needs a notary public. Check the instructions that come with your legal documents, and ask the office that will receive them if you are unsure.

What is a loose notary certificate?

A loose notary certificate is a certificate printed on its own page instead of on the document being notarized. When the notarial act concerns a paper record, Oregon law requires the certificate to be part of the record or securely affixed to it.[1.1] Ask the notary how to attach the page to your documents.

Can I fill in the certificate before I meet the notary?

The notary completes and signs the certificate. Oregon law says the notarial officer may not sign the certificate until the notarial act has been performed.[1.1] Ask the notary which blanks to leave empty until the appointment.

What should I bring to a notary appointment in Oregon?

Bring these items to the notarization:

  • The documents you want notarized, with their signing lines still blank
  • A government-issued photo ID
  • Any payment the notary asks for

Call ahead to ask about hours and whether the notary needs an appointment.

How do I find a notary in Oregon?

Many banks, shipping stores and mobile signing services offer notarization. You can also search the 123Notary directory of Oregon notaries by city, county or zip code. You can verify a notary's authority to perform notarial acts in the electronic database of notaries public that the Oregon Secretary of State maintains (ORS 194.345).[1.6] Call ahead to ask about fees and what ID to bring.

General information, not legal or tax advice.

Sources

  1. Or. Rev. Stat. Chapter 194.
    • 1.1 § 194.280
    • 1.2 § 194.285
    • 1.3 § 194.290
    • 1.4 § 194.230
    • 1.5 § 194.277
    • 1.6 § 194.345
Published: Jul 8, 2022
Mara Erlach
Mara Erlach
Writer & Attorney
Mara has been practicing estate planning and trust law in California since 2003, taking pride in helping clients of all backgrounds and asset profiles form a complete and customized estate plan. Her specialties are: estate planning, wills and trusts, trust and probate administration.