Illinois Code § 5 ILCS 312/6-105

Short Forms.
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The following short form certificates of notarial acts are sufficient for
the purposes indicated.

 
(a) For an acknowledgment in an individual capacity:

State of _________________

County of ________________

 
This instrument was acknowledged before me on ___________(date) by
___________________(name/s of person/s).

 

____________________________

(Signature of Notary Public)

(Seal)

 
 
(b) For an acknowledgment in a representative capacity:

State of ______________________

County of _____________________

 
This instrument was acknowledged before me on _________(date) by
__________________(name/s of person/s) as
_________________________________(type of authority, e.g., officer,
trustee, etc.) of _________________________(name of party on behalf of whom
instrument was executed).

 

_______________________________

(Signature of Notary Public)

(Seal)

 
 
(c) For a verification upon oath or affirmation:

State of _________________

County of_________________

 
Signed and sworn (or affirmed) to before me on _________(date) by
_____________________(name/s of person/s making statement).

 

_______________________________

(Signature of Notary Public)

(Seal)

 
 
(d) For witnessing or attesting a signature:

State of_________________

County of _______________

 
Signed or attested before me on __________(date) by
__________________(name/s of person/s).

 

_______________________________

(Signature of Notary Public)

(Seal)

(5 ILCS 312/Art. VI-A heading)
 
ARTICLE VI-A
ELECTRONIC NOTARIAL ACTS AND FORMS
.)

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