SOS Home :: Business Services :: Commissions :: Notary Public Handbook

Missouri Notary Public Handbook

[ Download the Missouri Notary Handbook ]

Sample Affirmations

Sample Individual Acknowledgment

State of           (1)          
County of           (2)                         (ss)

On this        (3)        day of             (4)              in the year       (5)     , before me, the undersigned notary public, personally appeared              (6)             , known to me to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged that he/she/they executed the same for the purposes therin contained. In witness whereof, I hereunto set my hand and official seal.

                   (10)                                                                      (9)                              
                                                                                       Notary Public
                                                                                               (11)

Sample Jurat

State of          (1)           
County of           (2)          

Subscribed and sworn to before me this        (3)        day of             (4)            in the year        (5)      .

                   (10)                                                                     (9)                              
                                                                                        Notary Public
                                                                                              (11)

Sample Certification of Facsimile

State of           (1)             
County (and/or City) of             (2)             

I,                                       (7)                                          (name of notary), a Notary Public in and for said state, do certify that on                   (3,4,5)                   I carefully compared the attached facsimile of                                   (8)                                   and the facsimile I now hold in my possession. They are complete, full, true and exact facsimiles of the document they purport to reproduce.

                  (10)                                                                   (9)                              
                                                                                     Notary Public
                                                                                           (11)

Instructions for completing sample affirmations

(1) Name of the state in which the notary certificate is being completed.

(2) Name of the county in which the notary certificate is being completed.

(3) The date the notary certificate is being completed by the notary.

(4) The name of the month the notary certificate is being completed.

(5) The year the notary certificate is being completed.

(6) The name(s) of the person(s) who signed the document and whose signature you are acknowledging.

(7) Your official name style as a notary public.

(8) The name of the document you are notarizing (usually found at the top of the page you are notarizing, or the first of multiple pages).

(9) Your official signature as a notary public.

(10) Impress your notary engraved embosser seal or black inked rubber stamp seal here.

(11) Affix your rubber stamp here, or type/print the information required by law concerning your notary commission.

How to Obtain Applications

An application for a commission as a notary public can be downloaded from our website at www.sos.mo.gov/business/commissions. Additional applications may be obtained by calling 1-866-223-6535 (toll free) or (573) 751-2783, or by writing: Secretary of State, Commissions, PO Box 784, Jefferson City, MO 65102-0784.

 

Commissions
Phone: (573) 751-2783
Toll Free: (866) 223-6535
Corporations
Phone: (573) 751-4153
Toll Free: (866) 223-6535
UCC Office
Phone: (573) 751-4628
Toll Free: (866) 223-6535
600 West Main Street
Jefferson City, MO 65101
Main Office: (573) 751-4936Driving Directions