§ 5368. Short-form certificates

The following short-form certificates of notarial acts shall be sufficient for the purposes indicated, if completed with the information required by subsections 5367(a) and (b) of this chapter:

(1) For an acknowledgment in an individual capacity:

State of Vermont [County] of ____________________________________ This record was acknowledged before me on _____________________ by ____________

Date ________ Name(s) of individual(s)____________________________

Signature of notary public _______________________________________

Stamp ____________  [__________________]

Title of office____________ [My commission expires: ____________]

(2) For an acknowledgment in a representative capacity:

State of Vermont [County] of _____________________________________

This record was acknowledged before me on __________ by ____________ Date ________ Name(s) of individual(s) ____________ as ______________ (type of authority, such as officer or trustee) of ________________ (name of party on behalf of whom record was executed).

Signature of notary public __________________

Stamp [________________________]

Title of office ____________ [My commission expires: ____________ ]

(3) For a verification on oath or affirmation:

State of Vermont [County] of __________________

Signed and sworn to (or affirmed) before me on ____________ by __________________

Date ____________

Name(s) of individuals making statement __________________

Signature of notary public __________________

Stamp [________________________]

Title of office____________ [My commission expires: ____________ ]

(4) For attesting a signature:

State of Vermont [County] of __________________

Signed [or attested] before me on ____________ by __________________ Date ________ Name(s) of individual(s) __________________

Signature of notary public __________________

Stamp [________________________]

Title of office ____________ [My commission expires: ____________]

(Added 2017, No. 160 (Adj. Sess.), § 1, eff. July 1, 2019.)