Oregon Revised Statutes Miscellaneous Matters Related to Government and Public Affairs § 194.285

(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 (if required):

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 (if required):

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 (if required):

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 (if required):

Title of office: __________

My commission expires: __________

(5) For certifying or attesting a copy of a record:

State of __________

County of __________

I certify (or attest) that this is a true and correct copy of a record in the possession of __________.

Dated __________

Signature of notarial officer: __________

Stamp (if required):

Title of office: __________

My commission expires: __________