9B.16  Short form certificates.
  The following short form certificates of notarial acts are sufficient for the purposes indicated, if completed with the information required by section 9B.15, subsections 1 and 2:
  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

  [........................................................]

  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

  [........................................................]

  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

  [........................................................]

  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

  [........................................................]

  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:........................]
2012 Acts, ch 1050, §15, 60