Current through Chapter 269 of the 2016 Legislative Session
STATE OF FLORIDA
COUNTY OF ______
On this ____ day of _______, (year), I attest that the preceding or attached document is a true, exact, complete, and unaltered photocopy made by me of (description of document) presented to me by the document's custodian, __________, and, to the best of my knowledge, that the photocopied document is neither a vital record nor a public record, certified copies of which are available from an official source other than a notary public.
(Official Notary Signature and Notary Seal)
(Name of Notary Typed, Printed or Stamped)
STATE OF FLORIDA
COUNTY OF ________
Sworn to (or affirmed) and subscribed before me this ____ day of ______, (year), by (name of person making statement).
(Signature of Notary Public - State of Florida)
(Print, Type, or Stamp Commissioned Name of Notary Public)
Personally Known ____ OR Produced Identification ____
Type of Identification Produced ____________
STATE OF FLORIDA
COUNTY OF ____
The foregoing instrument was acknowledged before me this ____ day of ______, (year), by (name of person acknowledging).
(Signature of Notary Public - State of Florida)
(Print, Type, or Stamp Commissioned Name of Notary Public)
Personally Known ____ OR Produced Identification ___
Type of Identification Produced _____________
STATE OF FLORIDA
COUNTY OF ____________
The foregoing instrument was acknowledged before me this ____ day of ________ (year), by (name of person) as (type of authority_____ e.g. officer, trustee, attorney in fact) for (name of party on behalf of whom instrument was executed).
(Signature of Notary Public - State of Florida)
(Print, Type, or Stamp Commissioned Name of Notary Public)
Personally Known ____ OR Produced Identification ____
Type of Identification Produced ___________
(First Name)____________(Last Name)
His (or Her) Mark
STATE OF FLORIDA
COUNTY OF ________
Sworn to and subscribed before me this ____ day of _________, (year), by (name of person making statement), who signed with a mark in the presence of these witnesses:
(Signature of Notary Public - State of Florida)
(Print, Type, or Stamp Commissioned Name of Notary Public)
Personally Known ____ OR Produced Identification ____
Type of Identification Produced ____________
(First Name)_____________(Last Name)
His (or Her) Mark
STATE OF FLORIDA
COUNTY OF _________
The foregoing instrument was acknowledged before me this ____ day of _________, (year), by (name of person acknowledging), who signed with a mark in the presence of these witnesses:
(Signature of Notary Public - State of Florida)
(Print, Type, or Stamp Commissioned Name of Notary Public)
Personally Known ____ OR Produced Identification ____
Type of Identification Produced _____________
STATE OF FLORIDA
COUNTY OF ____________
Sworn to (or affirmed) before me this ____ day of __________, (year), by (name of person making statement), and subscribed by (name of notary) at the direction of and in the presence of (name of person making statement), and in the presence of these witnesses:
(Signature of Notary Public - State of Florida)
(Print, Type, or Stamp Commissioned Name of Notary Public)
Personally Known ____ OR Produced Identification ____
Type of Identification Produced _____________
STATE OF FLORIDA
COUNTY OF ________
The foregoing instrument was acknowledged before me this ____ day of _______, (year), by (name of person acknowledging) and subscribed by (name of notary) at the direction of and in the presence of (name of person acknowledging), and in the presence of these witnesses:
(Signature of Notary Public - State of Florida)
(Print, Type, or Stamp Commissioned Name of Notary Public)
Personally Known ____ OR Produced Identification ____
Type of Identification Produced ______________