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Florida Notary Acknowledgement – Individual Signing by Mark

The Florida notary acknowledgement for an individual signing by mark is a document proving that a notary public confirmed the signature of a person only capable of signing with a mark. This notarial certificate may be necessary when the person has a physical disability restricting them from signing in the usual manner. The individual will need to visit the notary public and identify him/herself, thus assuring the notary they are the person mentioned in the applicable document. Furthermore, two (2) witnesses unaffected by the transaction must also be present during the notarization.

The notary must write the signer’s first name on the left side of the “His (or Her) Mark” field of the acknowledgement form, followed by the individual’s last name on the right side. The notary may then ask the individual to sign their mark in the space between their first and last name. Once signed, the notary must fill in the remaining information to complete the acknowledgement certificate.

Laws – § 117.05(13)(b)




_______________________________         _______________________________
Printed Name and Address of Witness          Signature of Witness

_______________________________         _______________________________
Printed Name and Address of Witness          Signature of Witness

His (or Her) Mark


COUNTY OF _________________


The foregoing instrument was acknowledged before me by means of ☐ physical presence ☐ online notarization, this ____ day of _________________, 20____, by _________________ (Name of Person Acknowledging), 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: _________________