5 ILCS 312/ Illinois Notary Public Act

5 ILCS 312/ Illinois Notary Public Act..

(5 ILCS 312/6‑105) (from Ch. 102, par. 206‑105)
Sec. 6‑105. Short Forms. 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)
(Source: P.A. 84‑322.)