§ 32-3-115 — Short form certificates

(a) The following short form certificates of notarial acts
are sufficient for the purposes indicated, if completed with the
information required by W.S. 32-3-114:
(i) For an acknowledgment in an individual capacity:
State of __________________________________________
County of _________________________________________
This record was acknowledged before me on (date) by (name(s)
of person(s)).
___________________________________
(Stamp) (Signature of notarial officer)
___________________________________
Title (and Rank)
[My commission expires: ]
(ii) For an acknowledgment in an representative
capacity:
State of __________________________________________
County of _________________________________________
This record 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).
___________________________________
(Stamp) (Signature of notarial officer)
___________________________________
Title (and Rank)
[My commission expires: ]
(iii) 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 person(s) making statement)
___________________________________
(Stamp) (Signature of notarial officer)
___________________________________
Title (and Rank)
[My commission expires: ]
(iv) For witnessing or attesting a signature:
State of __________________________________________
County of _________________________________________
Signed or attested before me on (date) by (name(s) of
person(s)).
___________________________________
(Stamp) (Signature of notarial officer)
___________________________________
Title (and Rank)
[My commission expires: ]
(v) 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___________________
___________________________________
(Stamp) (Signature of notarial officer)
___________________________________
Title (and Rank)
[My commission expires: ]