2017 Revised Code of Washington
Title 42 - PUBLIC OFFICERS AND AGENCIES
42.44 Notaries public.
42.44.100 Short forms of certificate.

RCW 42.44.100 Short forms of certificate. (Effective until July 1, 2018.)

The following short forms of notarial certificates are sufficient for the purposes indicated, if completed with the information required by this section:

(1) For an acknowledgment in an individual capacity:

State of Washington

County of  . . . . . . . .

I certify that I know or have satisfactory evidence that    (name of person)    is the person who appeared before me, and said person acknowledged that (he/she) signed this instrument and acknowledged it to be (his/her) free and voluntary act for the uses and purposes mentioned in the instrument.

Dated: . . . .

 

 

. . . . 

 

(Signature)

(Seal or stamp)

 

 

. . . . 

 

Title

 

My appointment

 

 

expires . . . .

(2) For an acknowledgment in a representative capacity:

State of Washington

County of  . . . . . . . .

I certify that I know or have satisfactory evidence that    (name of person)    is the person who appeared before me, and said person acknowledged that (he/she) signed this instrument, on oath stated that (he/she) was authorized to execute the instrument and acknowledged it as the    (type of authority, e.g., officer, trustee, etc.)    of    (name of party on behalf of whom instrument was executed)    to be the free and voluntary act of such party for the uses and purposes mentioned in the instrument.

Dated: . . . .

 

 

. . . . 

 

(Signature)

(Seal or stamp)

 

 

. . . . 

 

Title

 

My appointment

 

 

expires . . . .

(3) For a verification upon oath or affirmation:

State of Washington

County of  . . . . . . . .

Signed and sworn to (or affirmed) before me on    (date)    by    (name of person making statement)   .

 

. . . . 

 

(Signature)

(Seal or stamp)

 

 

. . . . 

 

Title

 

My appointment

 

 

expires . . . .

(4) For witnessing or attesting a signature:

State of Washington

County of  . . . . . . . .

Signed or attested before me on . . . . by . . . . . . . . .

 

. . . . 

 

(Signature)

(Seal or stamp)

 

 

. . . . 

 

Title

 

My appointment

 

 

expires . . . .

(5) For attestation of a copy of a document:

State of Washington

County of  . . . . . . . .

I certify that this is a true and correct copy of a document in the possession of . . . . . . as of this date.

Dated: . . . .

 

 

. . . . 

 

(Signature)

(Seal or stamp)

 

 

. . . . 

 

Title

 

My appointment

 

 

expires . . . .

(6) For certifying the occurrence of an event or the performance of an act:

State of Washington

County of  . . . . . . . .

I certify that the event or act described in this document has occurred or been performed.

Dated: . . . .

 

 

. . . . 

 

(Signature)

(Seal or stamp)

 

 

. . . . 

 

Title

 

My appointment

 

 

expires . . . .

[ 1988 c 69 § 4; 1985 c 156 § 10.]

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