The following short form certificates of notarial acts are sufficient for the purposes indicated, if completed with the information required by section 41-264, subsections A and B:

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Terms Used In Arizona Laws 41-265

  • Acknowledgment: means a declaration by an individual before a notarial officer that the individual has signed a record for the purpose stated in the record and, if the record is signed in a representative capacity, that the individual signed the record with proper authority and signed it as the act of the individual or entity identified in the record. See Arizona Laws 41-251
  • Commission: means to authorize to perform notarial acts and the written authority to perform those acts. See Arizona Laws 41-251
  • Electronic: means relating to technology having electrical, digital, magnetic, wireless, optical, electromagnetic or similar capabilities. See Arizona Laws 41-251
  • In a representative capacity: means acting as any of the following:

    (a) An authorized officer, agent, partner, trustee or other representative for a person other than an individual. See Arizona Laws 41-251

  • Record: means information that is either:

    (a) Inscribed on a tangible medium. See Arizona Laws 41-251

  • Signature: means a tangible symbol or an electronic signature that evidences the signing of a record. See Arizona Laws 41-251

1. For an acknowledgment in an individual capacity:

State of _____________________________________________

(County) of ___________________________________________

This record was acknowledged before me on _____________

Date

by ___________________________________

 Name(s) of individual(s)

______________________________________

 Signature of notarial officer

Stamp

(_____________________________________)

Title of office

(My commission expires: _____________)

2. For an acknowledgment in a representative capacity:

State of _________________________________________

(County) of ______________________________________

This record was acknowledged before me on _____________

Date

by ____________________________________________________

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 notarial officer

Stamp

(_______________________________________)

Title of office

(My commission expires: _______________)

3. For a verification on oath or affirmation:

State of _________________________________________

(County) of ______________________________________

Signed and sworn to (or affirmed) before me on ___________

Date

by ________________________________________________________

 Name(s) of individual(s) making statement

__________________________________________

Signature of notarial officer

Stamp

(_________________________________________)

 Title of office

(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 individual(s)

___________________________________________

Signature of notarial officer

Stamp

(__________________________________________)

  Title of office

(My commission expires: ___________________)

5. For certifying a copy of a record:

State of ________________________________________

(County) of _____________________________________

I certify that this is a true and correct copy of a record in the possession of _________________________________.

Dated _______________________________

_____________________________________

Signature of notarial officer

Stamp

(____________________________________)

Title of office

(My commission expires: _____________)

6. For certifying a tangible copy of an electronic record:

State of _______________________________________________

(County) of ____________________________________________ I certify that the foregoing copy of a record (entitled ________) (dated _______) and containing ________ pages is an accurate copy of an electronic record.

Dated ____________________________________

__________________________________________

Signature of notarial officer

Stamp

(_________________________________________)

Title of office

(My commission expires: __________________)