Indiana Code
Chapter 17. Remote Notarial Acts
33-42-17-7. Electronic Notarial Certificate; Form

Sec. 7. (a) An electronic notarial certificate of a remote notarial act must:
(1) specify that the notarial act is a remote notarial act;
(2) include a space in which a remote notary public may indicate whether the principal in the remote notarial act appeared before the remote notary public under section 4(a)(1) or 4(a)(2) of this chapter; and
(3) specify the:
(A) city and county in Indiana in which the remote notary public is physically located when the remote notary public performs the remote notarial act; and
(B) city, county, state or province, and country in which the principal is physically located when the principal signs the document.
(b) Completion of either of the following forms satisfies the requirements of this section where a principal appears before a remote notary public:

"State of Indiana

County of________________

City of___________________

I certify that the attached or associated electronic record

entitled__________________________________________ and

dated___________________________ was signed by the

principal__________________ who was located in this

city_________________, county___________, state or

province______________, and country_____________ and

notarized by me, the remote notary public, on this

date__________________ in this city and county____________,

Indiana.

Signed_____________________________, remote notary public.

Printed name of remote notary public_____________________

Date notary public commission expires____________________".

"State of Indiana

County of________________

City of___________________

I certify that the attached or associated electronic record

entitled__________________________________________ and

dated____________ was acknowledged and signed by the

principal__________________ who was located in this

city___________________, county_____________, state or

province______________, and country_____________ and who

appeared by audio visual communication on this date, was

notarized by me, the remote notary public, on this

date_________ in this city and county_____________________,

Indiana.

Signed_____________________________, remote notary public.

Printed name of remote notary public ____________________

Date notary public commission expires___________________".
As added by P.L.59-2018, SEC.64. Amended by P.L.185-2021, SEC.61.

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