Washington Notarial Certificates

For an acknowledgment in an individual capacity:

State of Washington

County of ___________

I certify that I know or have satisfactory evidence that _____________ (name of person)

is the person who appeared before me, and said person acknowledged that (he/she) signed

this instrument and acknowledged it to be (his/her) free and voluntary act for the uses and

purposes mentioned in the instrument.

Dated:______________

State of Washington

County of ___________

I certify that I know or have satisfactory evidence that _____________ (name of person)

is the person who appeared before me, and said person acknowledged that (he/she) signed

this instrument, on oath stated that (he/she) was authorized to execute the instrument and

acknowledged it as the _____________ (type of authority, e.g., officer, trustee, etc.) of

_____________ (name of party on behalf of whom instrument was executed) to be the

free and voluntary act of such party for the uses and purposes mentioned in the

instrument.

Dated:______________

State of Washington

County of ___________

Signed and sworn to (or affirmed) before me on __________ (date) by ____________

(name of person making statement).

____________________

(Seal or stamp) Signature

____________________

Title

My appointment expires:__________

For witnessing or attesting a signature:

Title

My appointment expires:__________

For attestation of a copy of a document:

State of Washington

County of ___________

I certify that this is a true and correct copy of a document in the possession of

Dated:____________

____________________

(Seal or stamp) Signature

____________________

Title

My appointment expires:__________

County of ___________

Dated:____________

(Seal or stamp) Signature

My appointment expires:__________