Nevada Revised Statutes Title 19. Miscellaneous Matters Related to Government and Public Affairs § 240.169. Short form for acknowledgment of credible witness

State of Nevada

County of _______________

This instrument was acknowledged before me on ______(date)______ by ______(name of person)______ who personally appeared before me and whose identity I verified upon the oath of __________ (name of credible witness) __________, a credible witness personally known to me and to the person who acknowledged this instrument before me.

_________________________________________________

(Signature of notarial officer)

(Seal, if any)

_________________________________________________

(Title and rank (optional))