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2013 Minnesota Statutes

358.48 SHORT FORMS.

The following short form certificates of notarial acts are sufficient for the purposes indicated, if completed with the information required by section 358.47, subsection (a):

(1) 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 notarial officer)
(Stamp)
Title (and Rank)
My commission expires:

(2) 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 the instrument was executed).

(Signature of notarial officer)
(Stamp)
Title (and Rank)
My commission expires:

(3) For a verification upon oath or affirmation:

State of
County of

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

(Signature of notarial officer)
(Stamp)
Title (and Rank)
My commission expires:

(4) 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 notarial officer)
(Stamp)
Title (and Rank)
My commission expires:

(5) For attestation of a copy of a document:

State of
County of

I certify that this is a true and correct copy of a document in the possession of .................... .

Dated:
(Signature of notarial officer)
(Stamp)
Title (and Rank)
My commission expires:

700 State Office Building, 100 Rev. Dr. Martin Luther King Jr. Blvd., St. Paul, MN 55155 ♦ Phone: (651) 296-2868 ♦ TTY: 1-800-627-3529 ♦ Fax: (651) 296-0569