(5 ILCS 312/6-105) (from Ch. 102, par. 206-105)
Sec. 6-105.
Short Forms.
The following short form certificates of notarial acts are sufficient for
the purposes indicated.
(a) For an acknowledgment in an individual capacity:
State of _________________
County of ________________
This instrument was acknowledged before me on ___________(date) by
___________________(name/s of person/s).
____________________________
(Signature of Notary Public)
(Seal)
(b) For an 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.) of _________________________(name of party on behalf of whom
instrument was executed).
_______________________________
(Signature of Notary Public)
(Seal)
(c) For a verification upon oath or affirmation:
State of _________________
County of_________________
Signed and sworn (or affirmed) to before me on _________(date) by
_____________________(name/s of person/s making statement).
_______________________________
(Signature of Notary Public)
(Seal)
(d) For witnessing or attesting a signature:
State of_________________
County of _______________
Signed or attested before me on __________(date) by
__________________(name/s of person/s).
_______________________________
(Signature of Notary Public)
(Seal)
(Source: P.A. 84-322.)