CALIFORNIA ALL- PURPOSE
CERTIFICATE OF ACKNOWLEDGMENT
A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
State of California |
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County of _______________________ |
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On __________________ before me, ____________________________________,
(Here insert name and title of the officer)
personally appeared __________________________________________________,
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.
WITNESS my hand and official seal.
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Notary Public Signature(Notary Public Seal)
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INSTRUCTIONS FOR COMPLETING THIS FORM |
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ADDITIONAL OPTIONAL INFORMATION This form complies with current California statutes regarding notary wording and, |
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DESCRIPTION OF THE ATTACHED DOCUMENT |
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if needed, should be completed and attached to the document. Acknowledgments |
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from other states may be completed for documents being sent to that state so long |
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as the wording does not require the California notary to violate California notary |
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law. |
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(Title or description of attached document) |
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State and County information must be the State and County where the document |
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signer(s) personally appeared before the notary public for acknowledgment. |
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Date of notarization must be the date that the signer(s) personally appeared which |
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(Title or description of attached document continued) |
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must also be the same date the acknowledgment is completed. |
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Number of Pages _____ Document Date__________ |
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The notary public must print his or her name as it appears within his or her |
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commission followed by a comma and then your title (notary public). |
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Print the name(s) of document signer(s) who personally appear at the time of |
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notarization. |
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CAPACITY CLAIMED BY THE SIGNER |
Indicate the correct singular or plural forms by crossing off incorrect forms (i.e. |
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Individual (s) |
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he/she/they, is /are ) or circling the correct forms. Failure to correctly indicate this |
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information may lead to rejection of document recording. |
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Corporate Officer |
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notary seal impression must be clear and photographically reproducible. |
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___________________ |
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Impression must not cover text or lines. If seal impression smudges, re-seal if a |
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(Title) |
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sufficient area permits, otherwise complete a different acknowledgment form. |
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∙ Signature of the notary public must match the signature on file with the office of |
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Partner(s) |
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the county clerk. |
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Attorney-in-Fact |
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Additional information is not required but could help to ensure this |
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Trustee(s) |
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Indicate title or type of attached document, number of pages and date. |
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Other ________________________ |
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acknowledgment is not misused or attached to a different document. |
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Indicate the capacity claimed by the signer. If the claimed capacity is a |
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corporate officer, indicate the title (i.e. CEO, CFO, Secretary). |
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2015 Version www.NotaryClasses.com 800-873-9865 |
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Securely attach this document to the signed document with a staple. |
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