AZ Corporation State of _______________________________ County of ______________________________ The foregoing instrument was acknowledged before me this (date) by (name of officer or title or officer or agent) of (name of corporation acknowledging) a (state or place of incorporation) corporation, on behalf of the corporation. (Signature of person taking acknowledgment) (Title or rank) (Serial number, if any) ARIZ. REV. STAT. ANN. § (2012) Yes AZ Partnership State of _______________________________ County of ______________________________ The foregoing instrument was acknowledged before me this (date) by (name of acknowledging partner or partner (or agent) on behalf of (name of partnership), a partnership. (Signature of person taking acknowledgment) (Title or rank) (Serial number, if any) ARIZ. REV. STAT. ANN. § (2012) Yes AZ Individual Acting as Principal by an Attorney in Fact (Individual of Attorney) State of _______________________________ County of ______________________________ The foregoing instrument was acknowledged before me this (date) by (name of as attorney-in-fact on behalf of (name of principal). (Signature of person taking acknowledgment) or rank) (Serial number, if any) ARIZ. REV. STAT. ANN. § (2012) Yes
CO Individual Acting as Principal by an Attorney in Fact (Power of Attorney) State of ............ County of ............ The foregoing instrument was acknowledged before me this (date) by (name of as attorney in fact on behalf of (name of principal). (signature of person taking acknowledgment) (title or rank) (serial number, if any) COLO. REV. STAT. § (West 2012) Yes CO Public Officer, Trustee, Personal Representative State of ............ County of ............ The foregoing instrument was acknowledged before me this (date) by (name and title of position). (signature of person taking acknowledgment) or rank) (serial number, if any) COLO. REV. STAT. § (West 2012) Yes CO Outside the Valid if performed by (1) notary public authorized where notarial act is performed; (2) judge, clerk, or deputy clerk of any court of record where notarial act is performed; (3) officer of the foreign service of the U.S., consular agent, or any other authorized to perform notarial acts; (4) commissioned officer in active service or any other authorized to perform notarial acts; or (5) any other person authorized to perform notarial acts in the place in which the act is performed. COLO. REV. STAT. § (West 2012) Yes
IL Armed Forces Member On (insert date), the undersigned officer, personally appeared before me, known to me (or satisfactorily proven) to be serving in or with the armed forces of the United States (and/or the spouse or former spouse of a person so serving) and to be the person whose name is subscribed to the instrument and acknowledged that ... he ... executed the same as ... free and voluntary act for the purposes therein contained, and the undersigned further certifies that he is at the date of this certificate a commissioned officer of the rank stated below and is in the active service of the armed forces of the United States. ……………………………………………………………… Signature of Officer ……………………………………………………………… Rank of Officer and Command to which attached. 765 ILL. COMP. STAT. (2012) Yes IL Outside the State Valid if (1) act a notary public is authorized to perform in the state of Illinois and performed by either: (a) notary public authorized in the jurisdiction; (b) judge, clerk, or deputy clerk of any court of record of the jurisdiction; (c) officer of the foreign service of the U.S. or a consular agent or any other person authorized; (d) a commissioner officer in active service or any other person authorized; or (e) any other person authorized in the jurisdiction to perform notarial acts. 765 ILL. COMP. STAT. (2012) Yes IN General Before me, E.F. (judge or justice, as the case may be) this _____ day of _______, A.B. acknowledged the execution of the annexed deed, (or mortgage, as the case may be.) IND. CODE § (2012) Yes IN Outside the State Must be: (1) certified by the clerk of any court of record of the county in which the officer receiving the acknowledgment resides; and (2) attested by the seal of that court. However, “an acknowledgement before an officer having an official seal that is attested by the officer’s official seal is sufficient without a certificate.” IND. CODE § (2012) Yes
KS Power of Attorney in Representative Capacity (Power of Attorney) This instrument was signed before me on _________ (date) by _____________________ (name(s) of person(s) as of attorney) of (name of party on behalf of whom instrument was executed.) _____________________________ (Signature of notarial officer) (Seal, if any) _____________________________ Title (and Rank) [My appointment expires:__________________ ] KAN. STAT. ANN. § (2012) Yes KS Outside the State Valid if performed by within the jurisdiction and under the authority of: (1) a notary public or notary; (2)a judge, clerk, or deputy clerk of a court of record; or (3) any other person authorized by the law of that jurisdiction to perform notarial acts. KAN. STAT. ANN. § (2012) Yes KY Individual of _________________ County of _________________ The foregoing instrument was acknowledged before me this (date) by (name of person acknowledged). (Signature of person taking acknowledgment) (Title or rank) (Serial number, if any) KY. REV. STAT. § (2012) Yes
KY Corporation State of _________________ County of _________________ The foregoing instrument was acknowledged before me this (date) by (name of officer or agent, title of officer or agent) of (name of corporation acknowledging) a (state or place of incorporation) corporation, on behalf of the corporation. (Signature of person taking acknowledgment) or rank) (Serial number, if any) KY. REV. STAT. § (2012) Yes KY Partnership State of _________________ County of _________________ The foregoing instrument was acknowledged before me this (date) by (name of acknowledging partner or agent), partner (or agent) on behalf of (name of partnership), a partnership. (Signature of person taking acknowledgment) (Title or rank) (Serial number, if any) KY. REV. STAT. § (2012) Yes KY Individual Acting as Principal by an Attorney-in-Fact (Individual Power of Attorney) State of _________________ County of _________________ The foregoing instrument was acknowledged before me this (date) by (name of fact) as attorney-in-fact on behalf of (name of principal). (Signature of person taking acknowledgment) (Title or rank) (Serial number, if any) KY. REV. STAT. § (2012) Yes
NE Corporation State of .... County of .... The foregoing instrument was acknowledged before me this (date) by (name of officer or agent, title of officer or agent) of (name of corporation acknowledging) a (state or place of incorporation) corporation, on behalf of the corporation. (Signature of Person Taking Acknowledgment) (Title or Rank) (Serial Number, if any) NEB. REV. STAT. § (West 2012) Yes NE Partnership State of .... County of .... The foregoing instrument was acknowledged before me this (date) by (name of acknowledging partner or partner (or agent) on behalf of (name of partnership), a partnership. (Signature of Person Taking Acknowledgment) (Title or Rank) (Serial Number, if any) NEB. REV. STAT. § (West 2012) Yes NE Limited Liability Corporation State of .... County of .... The foregoing instrument was acknowledged before me this (date) by (name of acknowledging member or member (or agent) on behalf of (name of limited liability company), a limited liability company. (Signature of Person Taking Acknowledgment) or Rank) (Serial Number, if any) NEB. REV. STAT. § (West 2012) Yes
RI Signature or Mark of Persons – either Individually or as a Representative State of __________ County of __________ On this ____ day of _________, 20___, before me, the undersigned notary public, personally appeared _________________________ (name of document signer), personally known to the notary or proved to the notary through satisfactory evidence of identification, which was ______________________, to be the person whose name is signed on the preceding or attached document, and acknowledged to the notary that (he)(she) signed it voluntarily for its stated purpose. (as partner for __________, a partnership) (as __________ for __________, a corporation) (as attorney in fact for __________, the principal) (as __________ for __________, (a)(the) __________) ___________________ (official signature and seal of notary) Secretary of State’s “Notary Public Guide”, § (2009). Yes RI Outside the Valid if executed in the manner prescribed by the law of the state, District of Columbia, territory or such dependency, where executed. R.I. GEN. LAWS ANN. § (West 2012) Yes SC Individual of __________ County of __________ The foregoing instrument was acknowledged before me this (date) by (name of person acknowledged). (Signature of Person Taking Acknowledgment) (Title or Rank) (Serial Number, if any) S.C. CODE ANN. §§ , , & (2011) Yes
SD Outside the State Valid in state if acknowledgment complies with laws of the jurisdiction where the acknowledgment is taken. S.D. CODIFIED LAWS § (2012) Yes TN Natural Persons (single or married) (Individual) of Tennessee ) County of ____________ ) On this ___ day of ___, 20___, before me personally appeared __________, to me known to be the person (or persons) described in and who executed the foregoing instrument, and acknowledged that such person (or persons) executed the same as such person (or person's) free act and deed. TENN. CODE ANN. § (West 2012) Yes TN Natural Persons Acting by Attorney (Individual Power of Attorney) State of Tennessee ) County of ____________ ) On this ___ day of ___, 20___, before me personally appeared __________, to me known (or proved to me on the basis of satisfactory evidence) to be the person who executed the foregoing instrument in behalf of ___ acknowledged that such person executed the same as the free act and deed of __________. TENN. CODE ANN. § (West 2012) Yes
VA Individual Acting as Principal by an Attorney-in-Fact (Individual Power of Attorney) State of .......... County of .......... The foregoing instrument was acknowledged before me this (date) by (name of as attorney-in-fact on behalf of (name of principal). (Signature of Person Taking Acknowledgment) (Title or Rank) (Serial Number, if any) VA. CODE ANN. § (West 2012) Yes VA Public Officer, Trustee, Personal Representative of .......... County of .......... The foregoing instrument was acknowledged before me this (date) by (name and title of position). (Signature of Person Taking Acknowledgment) (Title or Rank) (Serial Number, if any) VA. CODE ANN. § (West 2012) Yes VA Outside the State Valid if performed by: (1) a notary public authorized to perform notarial acts under the laws of that jurisdiction; (2) a judge, clerk, or deputy clerk of any record in the place in which the notarial act is performed; (3) an officer of the foreign service or a consular agent authorized to perform notarial acts in the place in which the act is performed; (4) a commissioned officer or other authorized person to perform notarial acts; or (5) any person authorized to perform acts in the place in which the act is performed. VA. CODE ANN. § (West 2012) Yes
WA Representative State of Washington County of .......... I certify that I know or have satisfactory evidence that (name of person) is the person who appeared before me, and said person acknowledged that (he/she) signed this instrument, on oath stated that (he/she) was authorized to execute the instrument and acknowledged it as the (type of authority, e.g., officer, trustee, etc.) of (name of party on behalf of whom instrument was executed) to be the free and voluntary act of such party for the uses and purposes mentioned in the instrument. Dated: ............... ___________________________________ (Signature) (Seal or stamp) ___________________________________ Title My appointment expires__________________ WASH. REV. CODE § (West 2012) Yes WA Certifying Occurrence of an or Performance of an Act State of Washington County of .......... I certify that the event or act described in this document has occurred or been performed. Dated: ............... ___________________________________ (Signature) (Seal or stamp) ___________________________________ Title My appointment expires__________________ WASH. REV. CODE § (West 2012) Yes
WV Public Officer, Trustee, Personal Representative State of……………………………………………………………………………… County of……………………………………………………………………………… The foregoing instrument was acknowledged before me this……………………(date) by…………………………………………………(name and of position). ………………………………………………………………………………….. (Signature of Person Taking Acknowledgment) ………………………………………………………………………………….. (Title or Rank) ………………………………………………………………………………….. (Serial Number, if any) W. VA. CODE § (West 2012) Yes WV Outside the State if use one of West Virginia’s ‘statutory short forms of acknowledgment’, “whether the acknowledgment is taken within or without this state.” W. VA. CODE § (West 2012) Yes WI Individual State of .... County of .... This instrument was acknowledged before me on (date) by (name(s) of person(s)). ................................. (Signature of notarial officer) (Seal, if any) ................................. Title (and Rank) [My commission expires: ....] WIS. STAT. § (West 2011) Yes