1-5-610. Short forms. The following short-form certificates of notarial acts are sufficient for the purposes indicated if they are completed with the information required by 1-5-416(1)(e) and (1)(f) and 1-5-609(1):
     (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)
     (Seal, if any)
     ........................
     (Name - typed, stamped, or printed)
     ................................
     Title (and Rank)
     .................................
     (Residing at)
     [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 instrument was executed).
     ...............................
     (Signature of notarial officer)
     (Seal, if any)
     ................................
     (Name - typed, stamped, or printed)
     ...............................
     Title (and Rank)
     ................................
     (Residing at)
     [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)
     (Seal, if any)
     ........................
     (Name - typed, stamped, or printed)
     ...........................
     Title (and Rank)
     .....................................
     (Residing at)
     [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)
     (Seal, if any)
     ......................................
     (Name - typed, stamped, or printed)
     .....................................
     Title (and Rank)
     .....................................
     (Residing at)
     [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)
     (Seal, if any)
     .................................
     (Name - typed, stamped, or printed)
     ..................................
     Title (and Rank)
     .....................................
     (Residing at)
     [My commission expires: .........]

     History: En. Sec. 10, Ch. 192, L. 1993; amd. Sec. 12, Ch. 161, L. 2001; amd. Sec. 3, Ch. 12, L. 2003; amd. Sec. 5, Ch. 319, L. 2009.