Vermont Statutes Title 26. Professions and Occupations, § 5368. Short-form certificates

(1) For an acknowledgment in an individual capacity:

State of Vermont [County] of____________________________

This record was acknowledged before me on ________by_________________

Date________ Name(s) of individual(s)__________________________

Signature of notary public _________________________________________

Stamp [__________________________________]

Title of office______________ [My commission expires: _________]

(2) For an acknowledgment in a representative capacity:

State of Vermont [County] of______________________________

This record was acknowledged before me on________by_________________

Date________ 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 notary public _________________________________________

Stamp [__________________________________]

Title of office______________[My commission expires: _________]

(3) For a verification on oath or affirmation:

State of Vermont_[County] of____________________________

Signed and sworn to (or affirmed) before me on ________ by______________________

Date _________

Name(s) of individual(s) making statement____________________________

Signature of notary public ________________________________________

Stamp [__________________________________]

Title of office______________[My commission expires: _________]

(4) For attesting a signature:

State of Vermont [County] of______________________________

Signed [or attested] before me on ________

by _______________________

Date Name(s) of individual(s) _______________________________

Signature of notary public _________________________________________

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: ________________________________________]