2017 Kansas Statutes
Chapter 53 NOTARIES PUBLIC AND COMMISSIONERS
Article 5 NOTARIAL ACTS
53-509 Short forms.
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: ________]
(f) For power of attorney in a representative capacity:
State of ___________________________
(County) of ________________________
This instrument was signed before me on (date) by [name(s) of designee(s)] as (power of attorney) of (name of party on behalf of whom instrument was executed.)
_________________________________
(Signature of notarial officer)
(Seal, if any)
_________________________________
Title (and Rank)
[My appointment expires: _______]
History: L. 1984, ch. 201, § 8; L. 1987, ch. 205, § 5; L. 2009, ch. 73, § 1; July 1.
