California Acknowledgment Certificate
Use the California statutory form below. All information must be filled in completely.
SAMPLE - FOR REFERENCE ONLY
JURAT
State of California
County of Nevada County
Subscribed and sworn to (or affirmed) before me on this 1st day of January, 2025,
by Jane Q. Signer,
proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me.
Signature: Alex Notary
(Seal)
This sample is for reference only and is not valid for notarization.
Certificate Completion Tips
- Fill in the county where the notarization is performed
- Include the complete date of the notarization
- Use your exact commissioned name as it appears on your seal
- Include your official title (e.g., "Notary Public")
- Write or type the signer's name exactly as it appears on their ID
- Affix your seal so that it is clear and photographically reproducible
- Do not allow your seal to overlap your signature or any text
Note: If the document does not have a certificate already attached, you can attach a separate certificate (a loose certificate) to the document. You can print blank certificates from the Print Certificates page.