Wyoming Secretary of State
Herschler Building East
122 West 25th St., Suite 100
Cheyenne, WY 82002-0020
Ph. 307.777.7370
Email:
[email protected] Sample Notarial Certificates
Wyoming Secretary of State
Part of the notarial act is completing the appropriate notarial certificate for the type of notarial
act being performed. Notarial certificates are discussed in Wyoming Statute 34-26-107. If no
notarial certificate is present on a document, and the notary is willing, the following short form
notarial certificates may be printed, completed and then secured to documents being
notarized. It is a good idea to reference the name of the document on the notarial certificate to
prevent its removal and placement on another document which the notary may not have
witnessed. Please select the appropriate certificate form and click “print current page” or
whatever your internet browser requires to print just that form.
Sample Certificates Follow; Please Page Down
State of ____________________
County of ____________________
This instrument entitled _____________________________ was acknowledged before me on
Title of document being acknowledged
____________________________ by _________________________________________________________________.
Date Name of Person
________________________________________
(Seal) Signature of Notarial Officer
________________________________________
Title (e.g. Notary Public) OR Rank (Rank if officer in active military)
My commission expires: ______________________________________
State of ____________________
County of ____________________
This instrument entitled _____________________________ was acknowledged before me on
Title of document being acknowledged
____________________________ by ____________________________________ as
Date Name of Person
______________________________________ of ____________________________________.
Type of Authority, eg. officer, trustee, etc. Name of Party on Behalf of Whom the Instrument was Executed
________________________________________
(Seal) Signature of Notarial Officer
________________________________________
Title (e.g. Notary Public) OR Rank (Rank if officer in active military)
My commission expires: ______________________________________
State of ____________________
County of ____________________
This ______________________________ signed and sworn to (or affirmed) before me on
Title of document being signed & sworn eg. affidavit
___________________________ by __________________________________________.
Date Name(s) or Person(s) Making Statement
________________________________________
(Seal) Signature of Notarial Officer
________________________________________
Title (e.g. Notary Public) OR Rank (Rank if officer in active military)
My commission expires: ______________________________________
State of ____________________
County of ____________________
This _____________________________________ signed or attested before me on
Title of document being signed or attested to
_______________________________ by _____________________________________.
Date Name(s) or Person(s)
________________________________________
(Seal) Signature of Notarial Officer
________________________________________
Title (e.g. Notary Public) OR Rank (Rank if officer in active military)
My commission expires: ______________________________________
State of ____________________
County of ____________________
I certify that this is a true and correct copy of a document entitled ________________________
Title of document
________________________ in the possession of ___________________________________,
Name(s) or Person(s)
on ________________________________.
Date
________________________________________
(Seal) Signature of Notarial Officer
________________________________________
Title (e.g. Notary Public) OR Rank (Rank if officer in active military)
My commission expires: ______________________________________
