|
For acknowledgement of
an individual:
State of Illinois
County of
__________________
This instrument was
acknowledged before me
on the __________day of
_________________,
200___, by
________________________________.
(SEAL)
__________________________________
Illinois Notary Public
For an acknowledgement
in representative
capacity:
State of Illinois
County of
__________________
This instrument was
acknowledgement before
me on the __________day
of _____________,
200___,
by_________________________________
who represented him/her
self
as____________________________________
of
________________________________________________________.
(SEAL)
__________________________________
Illinois Notary Public
For a verification upon
oath or affirmation:
State of Illinois
County of
__________________
Signed and sworn or
affirmed to before me
this __________day of
______________, 200____,
by________________________________.
(SEAL)
______________________________
Illinois Notary Public
For witnessing or
attesting a signature:
State of Illinois
County of
__________________
Signed or attested
before me this
___________day of
_____________, 200___,
by_________________________________________________.
(SEAL)
___________________________________
Illinois Notary Public
For signature by mark:
State of Illinois
County of
__________________
This instrument was
acknowledged before me
on this __________day of
_________, 200___,
by______________________________________who
made and acknowledged
making his/her mark on
the instrument in my
presence and in the
presence of two persons
who signed below.
(SEAL)
__________________________________
Illinois Notary Public
_________________________
Name and address of
Witness
_________________________
Name and address of
Witness |
