Effective 28 Aug 2004

486.330. Form of acknowledgments. — Except as otherwise provided in section 442.210, certificates of acknowledgment shall be in print not smaller than eight-point type and in substantially the following form:

(1) By an Individual.

State of ______, County (and/or City) of ______

On this ______ day of ______ in the year ______ before me, ______ (name of notary), a Notary Public in and for said state, personally appeared ______ (name of individual), known to me to be the person who executed the within ______ (type of document), and acknowledged to me that ______ (he/she) executed the same for the purposes therein stated.

(2) By a Partner.

State of ______, County (and/or City) of ______

On this ______ day of ______ in the year ______ before me, ______ (name of notary), a Notary Public in and for said state, personally appeared ______ (name of partner) of ______ (name of partnership), known to me to be the person who executed the within ______ (type of document) in behalf of said partnership and acknowledged to me that he or she executed the same for the purposes therein stated.

______ (official signature and official seal of notary)

(3) By a Corporate Officer.

State of ______, County (and/or City) of ______

On this ______ day of ______ in the year ______ before me, ______ (name of notary), a Notary Public in and for said state, personally appeared ______ (name of officer), ______ (title of person, president, vice president, etc.), ______ (name of corporation), known to me to be the person who executed the within ______ (type of document) in behalf of said corporation and acknowledged to me that he or she executed the same for the purposes therein stated.

______ (official signature and official seal of notary)

(4) By an Attorney in Fact for Principal or Surety.

State of ______, County (and/or City) of ______

On this ______ day of ______, in the year ______ before me, ______ (name of notary), a Notary Public in and for said state, personally appeared ______ (name of attorney in fact), Attorney in Fact for ______ (name of principal or surety), known to me to be the person who executed the within ______ (type of document) in behalf of said principal (or surety), and acknowledged to me that he or she executed the same for the purposes therein stated.

______ (official signature and official seal of notary)

(5) By a Public Officer, Deputy, Trustee, Administrator, Guardian or Executor.

State of ______, County (and/or City) of ______

On this ______ day of ______, in the year ______, before me ______ (name of notary), a Notary Public in and for said state, personally appeared ______ (name of person), ______, (person's official title) known to me to be the person who executed the within ______ (type of document) in behalf of ______ (public corporation, agency, political subdivision or estate) and acknowledged to me that he or she executed the same for the purposes therein stated.

______ (official signature and official seal of notary)

(6) By a United States Citizen Who is Outside of the United States. (description or location of place where acknowledgment is taken)

On this ______ day of ______, in the year ______, before me ______ (name and title of person acting as a notary and refer to law or authority granting power to act as a notary), personally appeared ______ (name of citizen) known to me to be the person who executed the within ______ (type of document) and acknowledged to me that ______ (he/she) executed the same for the purposes therein stated.

______ (official signature and official seal of person acting as a notary and refer to law or authority granting power to act as a notary)

(7) By An Individual Who Cannot Write His or Her Name.

State of ______ , County (and/or City) of ______

On this ______ day of ______ in the year ______, before me ______ (name of notary), a Notary Public in and for said state, personally appeared ______ (name of individual), known to me to be the person who, being unable to write his or her name, made his or her mark in my presence.

I signed his or her name at his or her request and in that person's presence on the within ______ (type of document) and he or she acknowledged to me that he or she made his or her mark on the same for the purposes therein stated.

______ (official signature and official seal of notary)

(8) By a Manager or Member.

State of ______, County (and/or City) of ______

On this ______ day of ______ in the year ______ before me, ______ (name of notary), a Notary Public in and for said state, personally appeared ______ (name of manager or member) of ______ (name of limited liability company), known to me to be the person who executed the within ______ (type of document) in behalf of said limited liability company and acknowledged to me that he or she executed the same for the purposes therein stated.

______ (official signature and official seal of notary)

­­--------

(L. 1977 H.B. 513 § 28, A.L. 1997 H.B. 655 merged with S.B. 170, A.L. 2004 H.B. 1193)