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 1-5-609(1) and (2):
     (1) For an acknowledgment in an individual capacity:
      State of........................
      County of........................
      This record was acknowledged before me on (date) by (name(s) of individual(s))
      ..............................................

....................................................

Signature of notarial officer)

      (Official Stamp)

................................

Title of officer (if not shown in stamp)

     (2) For an acknowledgment in a representative capacity:
      State of........................
      County of......................
      This record was acknowledged before me on (date) by (name(s) of individual(s)) as (type of authority) of or for (name of party on behalf of whom the record was executed).
      ...............................

....................................................

Signature of notarial officer)

      (Official Stamp)

................................

Title of officer (if not shown in stamp)

     (3) For a verification on oath or affirmation:
      State of........................
      County of......................
      This record was signed and sworn to (or affirmed) before me on (date) by (name(s) of individual(s))
      ........................

....................................................

Signature of notarial officer)

      (Official Stamp)

................................

(Name - typed, stamped, or printed)

...........................

Title of officer (if not shown in stamp)

     (4) For witnessing or attesting a signature:
      State of........................
      County of........................
      The record was signed before me on (date) by (name(s) of individual(s))
      ........................

....................................................

Signature of notarial officer)

      (Official Stamp)

................................

Title of officer (if not shown in stamp)

     (5) For certifying a copy of a record:
      State of........................
      County of........................
      I certify that this is a true and correct copy of (identification of record) in the possession of, or issued by, (custodian or issuer) and made by me on (date)

....................................................

Signature of notarial officer)

      (Official Stamp)

................................

Title of officer (if not shown in stamp)

     (6) For certifying a transcript or a deposition or affidavit:
      State of........................
      County of........................
      I hereby certify and state the following:
      that I have sworn in the deponent;
      that the deposition was taken before me and this is a true and accurate transcription of the testimony;
      that I am not a relative, agent, or employee of the deponent or the attorney or counsel of any of the parties;
      that I am not an interested party to the matter.
      A review of this transcript (was / was not) requested.
      Dated this ........................ day of ........................, 20...

....................................................

Signature of notarial officer)

      (Official Stamp)

................................

Title of officer (if not shown in stamp)

     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; amd. Sec. 10, Ch. 391, L. 2015.