ORS 194.285 Short form certificates

The following short form certificates of notarial acts are sufficient for the purposes indicated, if completed with the information required by ORS 194.280 (1) to (3): __________________________________________

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 (if required): Title of office: My commission expires:

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 (if required): Title of office: My commission expires:

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 (if required): Title of office: My commission expires:

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 (if required): Title of office: My commission expires:

For certifying or attesting a copy of a record: State of County of I certify (or attest) that this is a true and correct copy of a record in the possession of . Dated Signature of notarial officer: Stamp (if required): Title of office: My commission expires: __________________________________________