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Florida Notarial Certificate – Oath or Affirmation Signed by Mark

The Florida notarial certificate (oath or affirmation signed by mark) is an instrument that a notary public will use when an individual, whose signature is a mark, attests to the accuracy of information in a document. Also known as a “jurat,” this certificate states that the individual appeared before the notary, presented a sufficient form of identification, and swore to (or affirmed) the truthfulness of the document requiring notarization. The individual must sign the document (provide their mark) in the presence of the notary and two (2) disinterested witnesses. After the mark is made, both witnesses must write their names, addresses, and signature on the notarial certificate.

On the “His (or Her) Mark” signature field of the notarial certificate, the notary must write the individual’s first name on the far left followed by the last name on the far right. The space between the first and last names is designated for the individual’s mark.

Laws – § 117.05




_______________________________         _______________________________
Printed Name and Address of Witness          Signature of Witness

_______________________________         _______________________________
Printed Name and Address of Witness          Signature of Witness

His (or Her) Mark


COUNTY OF _________________


Sworn to (or affirmed) and subscribed before me by means of ☐ physical presence ☐ online notarization this ___ day of _________________, 20___, by _________________ (Name of Person Making Statement), who signed with a mark in the presence of these witnesses: _______________________________ (Names of Witnesses).


Signature of Notary Public

Print, Type or Stamp Name of Notary

Personally Known: ____
OR Produced Identification: ____
Type of Identification Produced: _________________