KANSAS ACKNOWLEDGMENTS

Acknowledgment of Individual

STATE OF KANSAS

COUNTY OF ___________________

This instrument was acknowledged to me on _______________________________ (date) by ________________________________ [name(s) of person(s)].

______________________________

Notary Public

Print Name: ___________________

My commission expires:

___________________

Acknowledgment of Corporation

STATE OF KANSAS

COUNTY OF ___________________

This instrument was acknowledged before me on __________________________ (date) by ___________________________________________ [name(s) of person(s)] as

_____________________________________________________ (type of authority, e.g., officer, trustee, etc.) of _____________________________________ (name of party on behalf of whom instrument was executed.)

_____________________________

Notary Public

Print Name: ___________________

My commission expires:

_____________________

(c) For a verification upon oath or affirmation:

State of KANSAS

County of ________________________

Signed and sworn to (or affirmed) before me on ___________________________ by _________________________________________ (name(s) of person(s) making statement).

______________________________

(Signature of notarial officer)

(Seal, if any)

______________________________

Title (and Rank)

My appointment expires: ________

(d) For witnessing or attesting a signature:

State of KANSAS

County of ________________________

Signed or attested before me on _____________________________ by ________________________________________ (name(s) of person(s)).

______________________________

Signature of notarial officer

(Seal, if any)

______________________________

Title (and Rank)

My appointment expires: _____________

(e) For attestation of a copy of a document:

State of KANSAS

County of ________________________

I certify that this is a true and correct copy of a document in the possession of

_______________________________.

Dated: ___________________

______________________________

Signature of notarial officer

(Seal, if any)

_________________________

Title (and Rank)

My appointment expires:

____________________

REFERENCE

KANSAS 53-509. Short forms. The following short form certificates of notarial acts are sufficient for the purposes indicated, if completed with the information required by subsection (a) of K.S.A. 53-508:

Kansas

Kan. Stat. Ann. § 53-502 (1999) Definitions

http://www.findlaw.com/11stategov/ks/laws.html

Kan. Stat. Ann. § 53-503 (1999) Notarial Acts

Kan. Stat. Ann. § 53-504 (1999) Notarial Acts Within the State

Kan. Stat. Ann. § 53-505 (1999) Notarial Acts in Other Jurisdictions

Kan. Stat. Ann. § 53-506 (1999) Notarial Acts Under Federal Authority

Kan. Stat. Ann. § 53-507 (1999) Foreign Notarial Acts

Kan. Stat. Ann. § 53-508 (1999) Certificate of Notarial Acts

Kan. Stat. Ann. § 53-509 (1999) Short Forms