The following Illinois Notarial Certificates are filled out by the Notary Public when completing a notarization. There is a certificate for each type of notarial act.

Most documents have a preprinted certificate typed onto the form but in case they do not, these certificates can be used as an attachment to any signed document which
require a notarization.  

Pre-printed forms are available for an additional fee.  Notarizations are always free. Travel fees are charged depending on notary location. See below for acceptable
identification documents.


Note:  It is not the notary’s function to determine what type of notarial form is required with regard to a notary request, however, the notary must know and use the proper certificate for the type of act
requested to perform.
ACKNOWLEDGMENT FORM
(in a representative capacity)

This instrument was acknowledged before me on__________________ (date)
by ___________________(name of person) as _____________ (type of authority,
e.g., officer, trustee, etc.) of___________________(name of party or
organization, on behalf of whom instrument was executed).

________________________                                               Notary Seal
Notary Signature
VERIFICATION UPON OATH OR AFFIRMATION

Sometimes referred to as a “jurat,” verification upon oath or affirmation is a
declaration that a statement is true and was made by a person upon oath or
affirmation.

The person requesting this notarial act must personally appear before the
notary and sign the document in the presence of the notary.

The notary public is required to administer an oath. There are no prescribed
words for the oath, but an acceptable oath would be:

“Do you swear (or affirm) that the (testimony) you are about to give, or, the
statements within this document  are true and correct to the best of your
knowledge?”

Verification upon oath may be taken in an individual capacity or in a
representative capacity.

These short form certificates to the right are sufficient to meet the
requirements of the law.
VERIFICATION UPON OATH OR AFFIRMATION
(in a representative capacity)

Signed and Sworn to before me on________________________________ (date)
by ______________________(name of person) as ___________________ (type of
authority, e.g., officer, trustee, etc.) of_____________________________(name
of party or organization on behalf of whom instrument was executed).

_________________________                                           Notary Seal          
Notary Signature
VERIFICATION UPON OATH OR AFFIRMATION
(in an individual capacity)

Signed and Sworn to before me on ________________________________(date)
by_________________________________(name of person taking sworn oath or
affirmation).

__________________________                                          Notary Seal
Notary Signature
WITNESSING OR ATTESTING A SIGNATURE

Occasionally, a notary public may be requested to witness a signature on a
document when no oath is necessary or required.

The person requesting this notarial act must personally appear before the
notary and sign the document in the presence of the notary.

This short form certificate to the right is sufficient to meet the requirements of
the law.
WITNESSING OR ATTESTING A SIGNATURE


Signed (or subscribed or attested) before me on _________________(date)

by_________________________________________(name of person).


_________________________                                          Notary Seal
Notary Signature
SIGNATURE BY MARK

When an individual requests a notarial act and the individual is prevented
by disability or illiteracy from writing a signature, take these precautions:

1)  positively identify the individual;

2)  ensure that there are two persons to witness the signature-by-mark in
addition to yourself;

3) write in the name of the signer-by-mark near the
mark on the document.

Complete the short form to the right which is sufficient to meet the
requirements of the law.
SIGNATURE BY MARK

This instrument was acknowledged before me on ________________(date) by
__________________________knowledged making his/her mark on the
instrument in my presence and in the presence of two witnesses / persons
who have signed below.

________________________                                            Notary Seal
Notary Signature

WITNESS #1                                                    WITNESS #2
__________________________                     ________________________
signature                                                          signature
__________________________                     ________________________
address                                                            address
ACKNOWLEDGMENT FORM


The taking of an acknowledgment consists of positively identifying the
signer of a document.

The signer need not sign in the notary’s presence but must personally
appear before the notary and state that the signature on the document is his
or hers.

Acknowledgments may be taken in an individual capacity or in a
representative capacity, (
as an authorized representative of another)
For Example:  as officer of a corporation for and on behalf of the
corporation or as an attorney in fact for another person).

The name of the county where the signer personally appeared before the
notary public should be inserted on the certificate.

These short form certificates to the right are sufficient to meet the
requirements of the law.
ACKNOWLEDGMENT FORM
(in an individual capacity)

This instrument was acknowledged before me (you can insert the notary
name here or opt to leave out) on ____________________________(date) by
________________________(name of person who is signing).

________________________                                             Notary Seal
Notary Signature
 
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PER ILLINOIS NOTARIAL LAW, (5 ILCS 312/6-102) (from Ch. 102, par. 206-102)

Sec. 6-102. Notarial Acts.

(a)   In taking an acknowledgment, the notary public must determine, either from personal knowledge or from satisfactory evidence, that the person appearing before the notary and
making the acknowledgment is the person whose true signature is on the instrument.

(b)   In taking a verification upon oath or affirmation, the notary public must determine, either from personal knowledge or from satisfactory evidence, that the
person appearing before the notary and making the verification is the person whose true signature is on the statement verified.

(c)   In witnessing or attesting a signature, the notary public must determine, either from personal knowledge or from satisfactory evidence, that the signature is that of the person
appearing before the notary and named therein.

(d)   A notary public has satisfactory evidence that a person is the person whose true signature is on a document if that person:

           (1) is personally known to the notary;
           (2) is identified upon the oath or affirmation of a credible witness personally known to the notary; or
           (3) is identified on the basis of identification documents.

Identification documents are documents that are valid at the time of the notarial act, issued by a state agency, federal government agency, or consulate, and bearing the photographic
image of the individual's face and signature of the individual.


(Source: P.A. 97-397, eff. 1-1-12; 98-29, eff. 6-21-13.)
ACCEPTED IDENTIFICATION DOCUMENTS (STATE OF IL)
CUSTOMER IDENTIFICATION INFORMATION IS ALWAYS KEPT SAFE
AND IS OUR NUMBER PRIORITY. ALL NOTARY JOURNALS USED IN THE
PROCESS OF NOTARIAL ACTS, ARE KEPT FILE CABINET LOCKED.