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):
     (1) For an acknowledgment in an individual capacity:
     State of___________________________________
     (County) of________________________________
               (date)
     This instrument was acknowledged before me on ______ by
     (name(s) of person(s))
     ______________________________
               ____________________________________
               (Signature of notarial officer)
     (Seal, if any)
               ____________________________________
               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 instrument was executed).
               ____________________________________
               (Signature of notarial officer)
     (Seal, if any)
               ____________________________________
               Title (and Rank)
               [My commission expires: ________]
     (3) For a verification upon oath or affirmation:
     State of___________________________________
     (County) of________________________________
               (date)
     Signed and sworn to (or affirmed) before me on ______ by
     (name(s) of person(s) making statement).
     ______________________________
               ____________________________________
               (Signature of notarial officer)
     (Seal, if any)
               ____________________________________
               Title (and Rank)
               [My commission expires: ________]
     (4) For witnessing or attesting a signature:
     State of___________________________________
     (County) of________________________________
               (date)
     Signed or attested before me on _____________________ by
     (name(s) of person(s)).
     ______________________________
               ____________________________________
               (Signature of notarial officer)
     (Seal, if any)
               ____________________________________
               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)
     (Seal, if any)
               ____________________________________
               Title (and Rank)
               [My commission expires: ________]

     History: En. Sec. 10, Ch. 192, L. 1993.