11
GENERAL INFORMATION
identifying numbers of the documents and the dates of issuance or expiration of the documents
presented by the witnesses to establish their identity.
The certificate of acknowledgment must be completely filled out at the time the notary
public’s signature and seal are affixed.
The completion of a certificate of acknowledgment that contains statements that the notary
public knows to be false not only may cause the notary public to be liable for civil penalties
and administrative action, but is also a criminal offense.
A notary public may complete a certificate of acknowledgment required in another state or
jurisdiction of the United States on documents to be filed in that other state or jurisdiction,
provided the form does not require the notary public to determine or certify that the signer
holds a particular representative capacity or to make other determinations and certifications
not allowed by California law.
Any certificate of acknowledgment taken within this state shall be in the following form:
}
State of California
County of _________
On __________ before me, (here insert name and title of the officer), personally
appeared
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_____________________________________________________________________ ,
personally known to me (or 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
acknowledged to me that he/she/they 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 PUBLIC SIGNATURE
NOTARY PUBLIC SEAL
NOTE: Key wording of an acknowledgment is “personally appeared.” It is not acceptable
to affix an acknowledgment to a document mailed or otherwise delivered to a notary public
whereby the signer did NOT personally appear before the notary public, even if the signer is
known by the notary public. Also, it is not acceptable to affix a notary public seal and signature
to a document without the notarial wording.
JURAT
The second form most frequently completed by a notary public is the jurat. (Government
Code section 8202) The jurat is identified by the wording “Subscribed and sworn to (or
affirmed)” contained in the form. In the jurat, the notary public certifies:
1. That the signer personally appeared before the notary public on the date indicated and
in the county indicated.
2. That the signer signed the document in the presence of the notary public.
3. That the notary public administered the oath or affirmation.*
4. To the identity of the signer.
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