Notary Acknowledgment Form

Notary Location

County

State

Name of Form

Do you know the Name of the Form that is being Notarized?

YesNo

Such as a lease agreement, power of attorney form, bill of sale, etc.

Enter the Name of the Form

Notary Info

Do you know the Name of the Notary Public?

YesNo

Notary Public's Name

First

Last

The Signers

Are you signing on behalf of a Business Entity?

YesNo

Location of Business

Name of Business

Title

How many individuals are signing?

This is the number of signatures the Notary Public is witnessing. For Example, if it is a Buyer and Seller the number would be 2.

Individual's Name

First

Last

This is the person that is signing in front of the Notary Public

2nd Individual's Name

First

Last

3rd Individual's Name

First

Last

4th Individual's Name

First

Last

5th Individual's Name

First

Last

6th Individual's Name

First

Last

7th Individual's Name

First

Last

8th Individual's Name

First

Last

9th Individual's Name

First

Last

10th Individual's Name

First

Last

Date of Signature

Do you know the day this form will be notarized?

YesNo

The day this acknowledgment will be signed in the presence of a Notary Public

Date of Acknowledgment