(1) For an acknowledgment in an individual capacity: State of Oregon County of ____________ This instrument was acknowledged before me on _________ (date) by __________________. (name(s) of person(s)) ______________________
(Signature of notarial officer)
______________________
Title (and Rank)
(2) For an acknowledgment in a representative capacity: State of Oregon 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.) of __________________. (name of party on behalf of whom
instrument was executed)
______________________
(Signature of notarial officer)
______________________
Title (and Rank)
(3) For a verification upon oath or affirmation: State of Oregon County of ____________ Signed and sworn to (or affirmed) before me on _________ (date) by__________________. (name(s) of person(s)
making statement)
______________________
(Signature of notarial officer)
______________________
Title (and Rank)
(4) For witnessing or attesting a signature: State of Oregon County of ____________ Signed or attested before me on __________________ (date) by__________________. (name(s) of person(s))
__________________
(Signature of notarial officer)
______________________
Title (and Rank)
(5) For attestation of a copy of a document: State of Oregon County of ____________ I certify that this is a true and correct copy of a document in the possession of __________________. (name(s) of
person(s))
Dated: __________________ ______________________
(Signature of notarial officer)
__________________
Title (and Rank)
Posted 04/10/08