Massachusetts Notarial Certificates
Acknowledgment Certificate
Commonwealth of Massachusetts
County of ___________
On this _____ of _________, 20___, before me, ___________ the undersigned notary
public, personally appeared___________, (name of document signer) proved to me
through satisfactory evidence of identification, which were ___________________, to be
the person whose name is signed on the preceding or attached document, and
acknowledged to me that (he) (she) signed it voluntarily for its stated purpose.
(as partner for __________, a partnership)
(as ___________ for __________, a corporation)
(as attorney in fact for _____________, the principal)
(as __________ for ____________, (a) (the)___________)
____________________
(seal) Notary Public Signature
Jurat:
Commonwealth of Massachusetts
County of ___________
On this ______ day of ____________, 20____, before me, the undersigned notary public,
personally appeared ______________ (name of document signer), proved to me through
satisfactory evidence of identification, which were _____________________, to be the
person who signed the preceding or attached document in my presence, and who swore or
affirmed to me that the contents of the document are truthful and accurate to the best of
(his) (her) knowledge and belief.
____________________
(seal) Notary Public Signature
Witness a signature:
Commonwealth of Massachusetts
County of ___________
On this ______ day of ____________, 20____, before me, the undersigned notary public,
personally appeared ______________ (name of document signer), proved to me through
satisfactory evidence of identification, which were _____________________, to be the
person whose name is signed on the preceding or attached document in my presence.
____________________
(seal) Notary Public Signature
Certify a Copy:
Commonwealth of Massachusetts
County of ___________
On this ______ day of ____________, 20____, I certify that the (preceding) (following)
(attached) document is a true, exact, complete, and unaltered copy made by me of
__________________ (description of the document), presented to me by
________________.
____________________
(seal) Notary Public Signature
Acknowledgment of a Mark
X
____________________
“Mark affixed by (name of signer by mark)”
in the presence of (names and addresses of
witnesses) and undersigned notary pursuant
to Executive Order No. 455
Witnesses:
__________________ ________________
Signature Signature
__________________ _________________
Address Address
Commonwealth of Massachusetts
County of ___________
On this _____ of _________, 20___, before me, ___________ the undersigned notary
public, personally appeared___________, (name of document signer) proved to me
through satisfactory evidence of identification, which were ___________________, to be
the person whose mark is made on the preceding or attached document, and
acknowledged to me that (he) (she) signed it voluntarily for its stated purpose.
____________________
(seal) Notary Public Signature
2/10/10
