§ 5368

Short-form certificates The following short-form certificates of notarial acts shall be sufficient for the purposes indicated, if completed with the information required by subsections 5367(a) and (b) of this chapter: (1) For an acknowledgment in an individual capacity:State of Vermont [County] of _________________________________________ This record was acknowledged before me on ______ by ______ Date ____ Name(s) of individual(s)_________________________________________ Signature of notary public _________________________________________ Stamp____ [__________ ]Title of office______ [My commission expires: ______ ](2) For an acknowledgment in a representative capacity:State of Vermont [County] of _________________________________________ This record was acknowledged before me on ____ by ______ Date ____ 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 notary public _________________________________________ Stamp [____________ ]Title of office ______ [My commission expires: ______ ](3) For a verification on oath or affirmation:State of Vermont [County] of

public _________________________________________ Stamp [____________ ]Title of office ______ [My commission expires: ______ ](3) For a verification on oath or affirmation:State of Vermont [County] of _________________________________________ Signed and sworn to (or affirmed) before me on ______ by _________________________________________ Date ______ Name(s) of individuals making statement _________________________________________ Signature of notary public _________________________________________ Stamp [____________ ]Title of office______ [My commission expires: ______ ](4) For attesting a signature:State of Vermont [County] of _________________________________________ Signed [or attested] before me on ______ by _________________________________________ Date ____ Name(s) of individual(s) _________________________________________ Signature of notary public _________________________________________ Stamp [____________ ]Title of office ______ [My commission expires: ______ ](5) For certifying a copy of a record: State of _______________________________________ County of _______________________________________ I certify that this is a true and correct copy of a record in the

For certifying a copy of a record: State of _______________________________________ County of _______________________________________ I certify that this is a true and correct copy of a record in the possession of _______________________________________ Dated _________________________________________ Signature of notarial officer _______________________________________________________________________ Stamp___________ Title of office _______________________________________ [My commission expires: ___________ ]