34-26-108. Short forms.

(a) The following short form certificates of notarial acts are sufficient for the purposes indicated, if completed with the information required by W.S. 34-26-107(a):

(i) For an acknowledgment for all instruments conveying, mortgaging or otherwise disposing of or encumbering real estate, including homestead property, and for all other instruments affecting title to real estate and all other instruments required by the laws of this state to be acknowledged in an individual capacity:

State of __________________________________________

County of _________________________________________

This instrument was acknowledged before me on (date) by (name(s) of person(s)).

___________________________________

(Seal, if any) (Signature of notarial officer)

___________________________________

Title (and Rank)

[My commission expires: ]

(ii) For an acknowledgment of all instruments conveying, mortgaging or otherwise disposing of or encumbering real estate, including homestead property, and other instruments affecting title to real estate and all other instruments to be acknowledged 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).

___________________________________

(Seal, if any) (Signature of notarial officer)

___________________________________

Title (and Rank)

[My commission expires: ]

(iii) 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)

___________________________________

(Seal, if any) (Signature of notarial officer)

___________________________________

Title (and Rank)

[My commission expires: ]

(iv) For witnessing or attesting a signature:

State of

County of

Signed or attested before me on (date) by (name(s) of person(s)).

___________________________________

(Seal, if any) (Signature of notarial officer)

___________________________________

Title (and Rank)

[My commission expires: ]

(v) 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___________________

___________________________________

(Seal, if any) (Signature of notarial officer)

___________________________________

Title (and Rank)

[My commission expires: ]