Illinois Statutes Chapter 5. General Provisions § 312/6-105. Short Forms

(a) 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).

(Seal)

(b) 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).

(Seal)

(c) For a verification upon oath or affirmation:

State of __________

County of __________

Signed and sworn (or affirmed) to before me on _______ (date) by _______________ (name/s of person/s making statement).

(Seal)

(d) For witnessing or attesting a signature: