Illinois Code § 765 ILCS 5/26

A certificate of acknowledgment, substantially in the following
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form, shall be sufficient:

State of (name of state), )
 ) ss.
County of (name of county).)

 
I (here give name of officer and his official title) certify that (name of
grantor, and if acknowledged by the spouse, his or her name, and add "his or
her spouse") personally known to me to be the same person whose name is (or
are) subscribed to the foregoing instrument, appeared before me this day in
person, and acknowledged that he (she or they) signed and delivered the
instrument as his (her or their) free and voluntary act, for the uses and
purposes therein set forth.

Dated (insert date).

(Signature of officer).

(Seal).

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