1-5-610. Short forms. The following short-form certificates of notarial acts are sufficient for the purposes indicated if they are completed with the information required by 1-5-416 and 1-5-609(1):
     (1) For an acknowledgment in an individual capacity:
     State of___________________________________
     (County) of________________________________
     This instrument was acknowledged before me on (date) by (name(s) of person(s))______________________________
     ____________________________________
     (Signature of notarial officer)
     (Seal, if any)
     ______________________________
     (Name - typed, stamped, or printed)
     ____________________________________
     Title (and Rank)
     ____________________________________
     (Residing at)
     [My commission expires: ________]
     (2) For an acknowledgment in a representative capacity:
     State of___________________________________
     (County) of________________________________
     This instrument was acknowledged before me on (date) by (name(s) of person(s)) as (type of authority, e.g., officer, trustee, etc.) of (name of party on behalf of whom instrument was executed).
     _____________________________________
     (Signature of notarial officer)
     (Seal, if any)
     ________________________________________
     (Name - typed, stamped, or printed)
     _____________________________________
     Title (and Rank)
     _____________________________________
     (Residing at)
     [My commission expires: ________]
     (3) For a verification upon oath or affirmation:
     State of___________________________________
     (County) of________________________________
     Signed and sworn to (or affirmed) before me on (date) by (name(s) of person(s) making statement)
     ______________________________
     ____________________________________
     (Signature of notarial officer)
     (Seal, if any)
     ___________________________________
     (Name - typed, stamped, or printed)
     ____________________________________
     Title (and Rank)
     ____________________________________
     (Residing at)
     [My commission expires: ________]
     (4) For witnessing or attesting a signature:
     State of___________________________________
     (County) of________________________________
     Signed or attested before me on (date) by (name(s) of person(s)) ______________________________
     ____________________________________
     (Signature of notarial officer)
     (Seal, if any)
     ____________________________________
     (Name - typed, stamped, or printed)
     ____________________________________
     Title (and Rank)
     ____________________________________
     (Residing at)
     [My commission expires: ________]
     (5) For attestation of a copy of a document:
     State of___________________________________
     (County) of________________________________
     I certify that this is a true and correct copy of a document in the possession of_____________________________.
     Dated ____________________
     ____________________________________
     (Signature of notarial officer)
     (Seal, if any)
     ____________________________________
     (Name - typed, stamped, or printed)
     ____________________________________
     Title (and Rank)
     ____________________________________
     (Residing at)
     [My commission expires: ________]

     History: En. Sec. 10, Ch. 192, L. 1993; amd. Sec. 12, Ch. 161, L. 2001; amd. Sec. 3, Ch. 12, L. 2003.