§ 55-118.6. Statutory short forms of acknowledgment
The forms of acknowledgment set forth in this section may be used and are sufficient for their respective purposes under any law of this Commonwealth. The forms shall be known as "Statutory Short Forms of Acknowledgment" and may be referred to by that name. The authorization of the forms in this section does not preclude the use of other forms.
(1) For an individual acting in his own right:
State of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
County of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The foregoing instrument was acknowledged before me this (date) by (name of
person acknowledged).
(Signature of Person Taking Acknowledgment)
(Title or Rank)
(Serial Number, if any)
(2) For a corporation:
State of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
County of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The foregoing instrument was acknowledged before me this (date) by (name of
officer or agent, title of officer or agent) of (name of corporation
acknowledging) a (state or place of incorporation) corporation, on behalf of
the corporation.
(Signature of Person Taking Acknowledgment)
(Title or Rank)
(Serial Number, if any)
(3) For a partnership:
State of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
County of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The foregoing instrument was acknowledged before me this (date) by (name of
acknowledging partner or agent), partner (or agent) on behalf of (name of
partnership), a partnership.
(Signature of Person Taking Acknowledgment)
(Title or Rank)
(Serial Number, if any)
(4) For an individual acting as principal by an attorney-in-fact:
State of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
County of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The foregoing instrument was acknowledged before me this (date) by (name of
attorney-in-fact) as attorney-in-fact on behalf of (name of principal).
(Signature of Person Taking Acknowledgment)
(Title or Rank)
(Serial Number, if any)
(5) By any public officer, trustee, or personal representative:
State of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
County of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The foregoing instrument was acknowledged before me this (date) by (name and
title of position).
(Signature of Person Taking Acknowledgment)
(Title or Rank)
(Serial Number, if any)
(1970, c. 719.)
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