Oregon Statutes - Chapter 194 - Notaries Public - Section 194.575 - Short forms.

The following short form certificates of notarial acts are sufficient for the purposes indicated, if completed with the information required by ORS 194.565 (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)

______________________

Title (and Rank)

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)

______________________

Title (and Rank)

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)

______________________

Title (and Rank)

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)

______________________

Title (and Rank)

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)

__________________

Title (and Rank)

My commission expires: ________

______________________________________________________________________________

[1983 c.393 §9]

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Last modified: August 7, 2008