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Connecticut Notary Acknowledgement – Individual

The Connecticut notary acknowledgement for an individual is a legal form confirming that a document was signed voluntarily and for the reasons specified therein. The signatory must present a licensed notarial officer with both the acknowledgement certificate and the instrument requiring notarization. Personal identification may also be demanded by the notary if the individual’s identity is not already known by the notary. A statutory short form of this certificate is also available for download in Adobe PDF and Microsoft Word.

Laws – § 1-33 and § 1-62



State of Connecticut
County of _________________         ss. _________________ (Town/City)


On this the _____ day of _________________, 20_____, before me, _________________ (name of notary), the undersigned officer, personally appeared _________________ (name of individual or individuals), known to me (or satisfactorily proven) to be the person(s) whose name(s) (is or are) subscribed to the within instrument and acknowledged that (he, she or they) executed the same for the purposes therein contained.

In witness whereof I hereunto set my hand.


____________________________                                                                (Seal)

Signature of Notary Public


Title of Officer

Date Commission Expires: _________________