721—43.2 (9E) Short forms. The following short form certificates of notarial acts are sufficient for the purposes indicated, if completed with the information required by rule 721—43.1(9E).
1. Acknowledgment in an individual capacity:
State of  	
County of  	
This instrument was acknowledged before me on ________________________ (date)
by ______________________________.
(name(s) of person(s))
(Seal, if any)  	
(Signature)
NOTARY PUBLIC
(or title of other officer authorized to perform notarial acts)
2. Acknowledgment in a representative capacity:
State of  	
County of  	
This instrument was acknowledged before me on (date) by (name(s) of person(s)) as (type of authority, e.g., officer, trustee, etc.) or (name of party on behalf of whom instrument was executed).
(Seal, if any)  	
(Signature)
NOTARY PUBLIC
(or title of other officer authorized to perform notarial acts)
3. Verification upon oath or affirmation:
State of  	
County of  	
Signed and sworn to (or affirmed) before me on (date) by (name(s) of person(s) making statement).
(Seal, if any)  	
(Signature)
NOTARY PUBLIC
(or title of other officer authorized to perform notarial acts)
4. Witnessing or attesting a signature:
State of  	
County of  	
Signed or attested before me on (date) by

	
(names of persons)
(Seal, if any)  	
(Signature)
NOTARY PUBLIC
(or title of other officer authorized to perform notarial acts)
5. Attestation of a copy of a document:
State of  	
County of  	
I certify that this is a true and correct copy of a document in the possession of ___________________
	 .
Dated  	
(Seal, if any)  	
(Signature)
NOTARY PUBLIC
(or title of other officer authorized to perform notarial acts)