California Acknowledgement Certificate Form – Fill Out and Use This PDF

State of California

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County of _______________________

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INSTRUCTIONS FOR COMPLETING THIS FORM

ADDITIONAL OPTIONAL INFORMATION This form complies with current California statutes regarding notary wording and,

DESCRIPTION OF THE ATTACHED DOCUMENT

if needed, should be completed and attached to the document. Acknowledgments

from other states may be completed for documents being sent to that state so long

as the wording does not require the California notary to violate California notary

_____________________________________________________

law.

(Title or description of attached document)

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State and County information must be the State and County where the document

_____________________________________________________

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

(Title or description of attached document continued)

must also be the same date the acknowledgment is completed.

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

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.

CAPACITY CLAIMED BY THE SIGNER

Indicate the correct singular or plural forms by crossing off incorrect forms (i.e.

□

Individual (s)

he/she/they, is /are ) or circling the correct forms. Failure to correctly indicate this

information may lead to rejection of document recording.

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Corporate Officer

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The

notary seal impression must be clear and photographically reproducible.

___________________

Impression must not cover text or lines. If seal impression smudges, re-seal if a

(Title)

sufficient area permits, otherwise complete a different acknowledgment form.

∙ Signature of the notary public must match the signature on file with the office of

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Partner(s)

the county clerk.

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Attorney-in-Fact



Additional information is not required but could help to ensure this

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Trustee(s)

 Indicate title or type of attached document, number of pages and date.

Other ________________________

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

corporate officer, indicate the title (i.e. CEO, CFO, Secretary).

2015 Version www.NotaryClasses.com 800-873-9865

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Securely attach this document to the signed document with a staple.