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 needing notarization.  

Pre-printed forms are available for a fee
.  Notarization and/or travel fee included. Please call for a quote.

Note:  It is not the notary’s function to determine what type of notarial act is required with regard to a notary request, but the notary must
know and use the proper certificate for the type of act he / she is requested to perform. (Sec. 6-103).
    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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