2016 Pennsylvania Consolidated Statutes
Title 57 - NOTARIES PUBLIC
Chapter 3 - Revised Uniform Law on Notarial Acts
Section 316 - Short form certificates
The following short form certificates of notarial acts are sufficient for the purposes indicated if completed with the information required by section 315(a) and (b) (relating to certificate of notarial act):
(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
Stamp
Title of office
My commission expires:
(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, such as officer or trustee)
who represent that (he, she or they) are authorized to act on behalf of (name of party on behalf of whom record was executed)
Signature of notarial officer
Stamp
Title of office
My commission expires:
(2.1) For an acknowledgment by an attorney at law pursuant to 42 Pa.C.S. § 327 (relating to oaths and acknowledgments):......................................
State of...............................................
County of..............................................
This record was acknowledged before me on
(date).................................................
by (name of attorney)..................................
Supreme Court identification number....................
as a member of the bar of the Pennsylvania Supreme Court certified that he/she was personally present when (name(s) of individual(s)) executed the record and that (name(s) of individual(s)) executed the record for the purposes contained therein.
Signature of notarial officer..........................
Stamp
.......................................................
Title of office........................................
My commission expires:.................................
(3) For a verification on oath or affirmation:
State of
County of
Signed and sworn to (or affirmed) before me on
(date)
by (name(s) of individual(s))
making statement
Signature of notarial officer
Stamp
Title of office
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 individual(s))
Signature of notarial officer
Stamp
Title of office
My commission expires:
(5) For certifying a copy of a record:
State of
County of
I certify that this is a true and correct copy of a
in the possession of
Dated
Signature of notarial officer
Stamp
Title of office
My commission expires:
(6) For certifying the transcript of a deposition:
State of
County of
I certify that this is a true and correct copy of the transcript of the deposition of
Dated
Signature of notarial officer
Stamp
Title of office:
My commission expires:
(Oct. 4, 2016, P.L.867, No.103, eff. imd.)
2016 Amendment. Act 103 amended par. (2.1). Section 3(2) of Act 103 provided that the amendments of par. (2.1) shall apply to a form used for an acknowledgment taken by a member of the bar of the Pennsylvania Supreme Court pursuant to 42 Pa.C.S. § 327(a) retroactively to January 1, 2015.
Cross References. Section 316 is referred to in section 5601 of Title 20 (Decedents, Estates and Fiduciaries).
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