Indiana Notary Acknowledgement Template
This document serves as a formal acknowledgement of a notarization completed in the state of Indiana, pursuant to the provisions outlined in the Indiana Notary Public Law. It is designed to confirm that an individual has appeared before a Notary Public, has been positively identified, and that any document mentioned has been willingly signed.
State of Indiana
County of ________________________
On this ___ day of ___________, 20__, before me, a Notary Public in and for said County and State, personally appeared ________________________________, known to me (or satisfactorily proven) to be the person(s) whose name(s) is/are subscribed to in the capacity therein stated, and acknowledged that they executed the same for the purposes therein contained.
In witness whereof, I have hereunto set my hand and official seal.
Notary Public’s Name: _______________________________
Notary Public’s Signature: ___________________________
My Commission Expires: _______________
Seal:
Instructions for Completion:
- County of notarization – Fill in the county where the notarization is taking place.
- Date of notarization – Provide the day, month, and year when the notarization occurs.
- Appearing individual(s) – Write the full name(s) of the person(s) appearing before the Notary Public.
- Notary Public's information – The Notary must print their name, sign, and indicate when their commission expires. The seal should also be affixed if required by law.
Notes:
- This template must be used in compliance with Indiana state law and is only valid within the jurisdiction of Indiana.
- The appearance of the individual(s) before the Notary Public and the identity verification are critical for the validity of the notarization.
- The notarization confirms the voluntary signatory action of the document by the individual(s) but does not validate the truthfulness, accuracy, or validity of the document itself.