2006 Kansas Code - 53-509

      53-509.   Short forms. The following short form certificates of notarial acts are sufficient for the purposes indicated, if completed with the information required by subsection (a) of K.S.A. 53-508: (a)   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)

_________________________________

                                  Title (and Rank)

[My appointment expires: _______]

      (b)   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 appointment expires: _______]

      (c)   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)

_________________________________

                                  Title (and Rank)

[My appointment expires: ________]

      (d)   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)

_________________________________

                                  Title (and Rank)

[My appointment expires: _______]

      (e)   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 appointment expires: ________]

      History:   L. 1984, ch. 201, § 8; L. 1987, ch. 205, § 5; July 1.