District of Columbia Code
Chapter 12A - Revised Uniform Law on Notarial Acts
§ 1–1231.15. Short forms

The following short form certificates of notarial acts are sufficient for the purposes indicated, if completed with the information required by § 1-1231.14(a) and (b):
"(1) For an acknowledgment in an individual capacity:
"District of Columbia
"This record was acknowledged before me on ________ by ____________________
"....................................................................................Date...........Name(s) of individual(s)
"__________________________________
" Signature of notarial officer
"[Seal]
"[__________________________________]
" Title of office
"[My commission expires: _________]
"(2) For an acknowledgment in a representative capacity:
"District of Columbia
"This record was acknowledged before me on ________ by _____________________
"....................................................................................Date...........Name(s) of individual(s)
"as (type of authority, such as officer or trustee) of (name of party on behalf of whom record was executed).
"__________________________________
" Signature of notarial officer
"[Seal]
"[__________________________________]
" Title of office
"[My commission expires: _________]
"(3) For a verification on oath or affirmation:
"District of Columbia
"Signed and sworn to (or affirmed) before me on ________ by ______________________
".......................................................................................Date...........Name(s) of individual(s)
" making statement
"
"__________________________________
" Signature of notarial officer
"[Seal]
"[__________________________________]
" Title of office
"[My commission expires: _________]
"(4) For witnessing or attesting a signature:
"District of Columbia
"Signed [or attested] before me on ________ by _______________________
"...............................................................Date...........Name(s) of individual(s)
"__________________________________
" Signature of notarial officer
"[Seal]
"[__________________________________]
" Title of office
"[My commission expires: _________]
"(5) For certifying a copy of a record:
"District of Columbia
"I certify that this is a true and correct copy of a record in the possession
"of ________________________________________.
"Dated ___________________________
"________________________________
" Signature of notarial officer
"[Seal]
"[__________________________________]
" Title of office
"[My commission expires: _________]".
(Dec. 4, 2018, D.C. Law 22-189, § 16, 65 DCR 11606.)

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