2017 ORS 194.285¹
Short form certificates

The following short form certificates of notarial acts are sufficient for the purposes indicated, if completed with the information required by ORS 194.280 (Certificate of notarial act) (1) to (3):

______________________________________________________________________________

(1) For an acknowledgment in an individual capacity:

State of _________

County of _________

This record was acknowledged before me on (date) ______by (name(s) of individual(s))_________.

Signature of notarial officer: ____________

Stamp (if required):

Title of office: ____________

My commission expires: _________

(2) For an acknowledgment in a representative capacity:

State of _________

County of _________

This record was acknowledged before me on (date) ______by (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 notarial officer: ____________

Stamp (if required):

Title of office: ____________

My commission expires: _________

(3) For a verification on oath or affirmation:

State of _________

County of _________

Signed and sworn to (or affirmed) before me on (date) ______by (name(s) of individual(s)) making statement_________.

Signature of notarial officer:

Stamp (if required):

Title of office: ____________

My commission expires: _________

(4) For witnessing or attesting a signature:

State of _________

County of _________

Signed (or attested) before me on (date) ______by (name(s) of individual(s))_________.

Signature of notarial officer: ____________

Stamp (if required):

Title of office: ____________

My commission expires: _________

(5) For certifying or attesting a copy of a record:

State of _________

County of _________

I certify (or attest) that this is a true and correct copy of a record in the possession of____________.

Dated ______

Signature of notarial officer: ____________

Stamp (if required):

Title of office: ____________

My commission expires: _________

______________________________________________________________________________ [2013 c.219 §15]

1 Legislative Counsel Committee, CHAPTER 194—Uniform Law on Notarial Acts; Unsworn Foreign Declarations, https://­www.­oregonlegislature.­gov/­bills_laws/­ors/­ors194.­html (2017) (last ac­cessed Mar. 30, 2018).
 
2 OregonLaws.org contains the con­tents of Volume 21 of the ORS, inserted along­side the per­tin­ent statutes. See the preface to the ORS An­no­ta­tions for more information.
 
3 OregonLaws.org assembles these lists by analyzing references between Sections. Each listed item refers back to the current Section in its own text. The result reveals relationships in the code that may not have otherwise been apparent.