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Indiana Notary Acknowledgement – Representative

The Indiana notary acknowledgement for a representative is a certificate which authenticates the signature given by an individual acting on behalf of another party. An acknowledgement also proves that the person’s signature was given voluntarily and for the reasons outlined in the signed instrument. The certificate must be completed by a notary public who has confirmed the identity of the signer as well as the capacity under which the individual is signing (e.g., attorney in fact, agent, trustee). Additionally, the notary must be present when the representative acknowledges the signature.

Laws – § 33-42



State of Indiana
County of _________________


I, _________________, a Notary Public, in and for said County in said State, hereby certify that _________________ (Name of Signer), whose name as _________________ (State Representative Capacity) is signed to the foregoing conveyance and who is known to me, acknowledged before me on this day that, being informed of the contents of the conveyance, he, in his capacity as such _________________ (State Representative Capacity), executed the same voluntarily on the day the same bears date.


Given under my hand this the ____ day of _________________, 20____.


______________________________________                                            (Seal, if any)
Signature of Notary Public

Title and Rank

My Commission Expires: __________________