New Jersey Administrative Code
Title 17 - TREASURY - GENERAL
Chapter 50 - NOTARY PUBLIC RULES
Subchapter 1 - GENERAL PROVISIONS
Section 17:50-1.10 - Certificate forms

Universal Citation: NJ Admin Code 17:50-1.10

Current through Register Vol. 56, No. 6, March 18, 2024

(a) The following short form certificates of notarial acts are sufficient for the purposes indicated if the requirements at N.J.A.C. 17:50-1.6are satisfied.

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 (date)

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))

On _______(date)

As _____________ (type of authority, such as officer or trustee) of (name of party on behalf of

___________________________

whom record was executed).

Signature of notarial officer

Stamp

___________________________

Title of office

My commission expires (date)

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 (date)

4. For witnessing or attesting a signature:

State of _________________________________________

County of _______________________________________

Signed (or attested) before me on (date) _____________

___________________________

(Name(s) of individual(s))

___________________________

Signature of notarial officer

Stamp

Title of office

My commission expires (date)

5. For certifying a copy of a record:

State of _________________________________________

County of ______________________________________

I certify that this is a true and correct copy of a record in the possession of ______________(name).

Dated _____________________ (date)

___________________________

Signature of notarial officer

Stamp

___________________________

Title of office

My commission expires (date)

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