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):

      (1) 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: _________

      (2) 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: _________

      (3) 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: _________

      (4) 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: _________

      (5) 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: _________