Missouri Revised Statutes Title XXXII. Courts § 486.1175. Jurat certificate form--signature form

1. A remote online notary shall use a jurat certificate in substantially the following form in notarizing a signature or mark on an affidavit or other sworn or affirmed written declaration:

State of Missouri

County (and/or City) of ․․․․․․․․․․

On this ․․․․․․․․․․ day of․․․․․․․․․․, 20․․․, before me, the undersigned notary, personally appeared by remote online means ․․․․․․․․․․ (name of document signer), (personally known to me) (proved to me through identification documents, which were․․․․․․․․․․,) (proved to me on the oath or affirmation of․․․․․․․․․․, who is personally known to me and stated to me that (he)(she) personally knows the document signer and is unaffected by the document,) (proved to me on the oath or affirmation of ․․․․․․․․․․ and․․․․․․․․․․, whose identities have been proven to me through identification documents and who have stated to me that they personally know the document signer and are unaffected by the document,) to be the person who signed the preceding or attached document in my presence and who swore or affirmed to me that the contents of the document are truthful and accurate to the best of (his)(her) knowledge and belief.

․․․․․․․․․․ (official signature and seal of notary)

2. A remote online notary shall use a certificate in substantially the following form in notarizing the signature or mark of any person acknowledging on his or her own behalf or as a partner, corporate officer, attorney in fact, or in any other representative capacity who appears remotely:

State of Missouri

County (and/or City) of ․․․․․․․․․․

On this ․․․․․․․․․․ day of․․․․․․․․․․, 20․․․, before me, the undersigned notary, personally appeared by remote online means ․․․․․․․․․․ (name of document signer), (personally known to me) (proved to me through identification documents, which were․․․․․․․․․․,) (proved to me on the oath or affirmation of․․․․․․․․․․, who is personally known to me and stated to me that (he)(she) personally knows the document signer and is unaffected by the document,) (proved to me on the oath or affirmation of ․․․․․․․․․․ and․․․․․․․․․․, whose identities have been proven to me through identification documents and who have stated to me that they personally know the document signer and are unaffected by the document,) to be the person whose name is signed on the preceding or attached document, and acknowledged to me that (he)(she) signed it voluntarily for its stated purpose(.)

(as partner for․․․․․․․․․․, a partnership.)

(as ․․․․․․․․․․ for․․․․․․․․․․, a corporation.)

(as attorney in fact for․․․․․․․․․․, the principal.)

(as ․․․․․․․․․․ for․․․․․․․․․․, (a)(the)․․․․․․․․․․)

․․․․․․․․․․ (official signature and seal of notary)