2016 Tennessee Code
Title 66 - Property
Chapter 22 - Acknowledgment of Instruments
§ 66-22-107. Form of certificate of acknowledgment.
(a) If the acknowledgment is made before a county clerk or deputy, or clerk and master, or notary public, or before any of the officers out of the state who are commissioned or accredited to act at the place where the acknowledgment is taken, and having an official seal, viz: those named in ยงยง 66-22-103 and 66-22-104, and, also, any consular officer of the United States having an official seal, such officer shall write upon or annex to the instrument the following certificate, in which the officer shall set forth such officer's official capacity:
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State of Tennessee )
County of ____________________ )
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Personally appeared before me, (name of clerk or deputy), clerk (or deputy clerk) of this county, (bargainor's name), the within named bargainor, with whom I am personally acquainted (or proved to me on the basis of satisfactory evidence), and who acknowledged that such person executed the within instrument for the purposes therein contained.
Witness my hand, at office, this _____ day of _____, 20 _____.
(b) Or, in the alternative, the following certificate, in case of natural persons acting in their own right:
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State of Tennessee )
County of ____________________ )
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On this _____ day of _____, 20 _____, before me personally appeared ____________________, to me known to be the person (or persons) described in and who executed the foregoing instrument, and acknowledged that such person (or persons) executed the same as such person's (or persons') free act and deed.
(c) Or, in case of natural persons acting by attorney:
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State of Tennessee )
County of ____________________ )
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On this _____ day of _____, 20 _____, before me personally appeared ____________________, to me known (or proved to me on the basis of satisfactory evidence) to be the person who executed the foregoing instrument in behalf of _____ acknowledged that such person executed the same as the free act and deed of _____.
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