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Sample Notary Forms

Sample Notary Template


State of: _______________________

County of: ______________________

On ____/____/______, before me,


Personally appeared,


[__] Personally known to me


[__] Proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and has hereby acknowledged to me that he/she/they have executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument.

Witness my hand and official seal

Notary Signature

Print Name

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