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Rhode Island Individual Notary Acknowledgement

The purpose of the Rhode Island individual notary acknowledgement is to notarize the signature of an individual who has executed a legal instrument in their own name. This form must be attached to the original signed document and completed by a recognized notarial officer. The signer will need to present the signed instrument to the notary public in person and prove their identity by showing their photo ID. Once the notary has verified the signer’s identity, they can fill out and sign the acknowledgement form to validate the individual’s signature.

Laws – § 34-12-1 (also see page seventeen (17) of Rhode Island General Laws)




State of Rhode Island             }

County of ______________   }


On this ____ day of ____________, 20__, before me, the undersigned notary public, personally appeared _________________________________ [Name of Document Signer], personally known to the notary or proved to the notary through satisfactory evidence of identification, which was ________________________________ [Type of Identification], to be the person whose name is signed on the preceding or attached document, and acknowledged to the notary that he or she signed it voluntarily for its stated purpose.


Official signature of notary

Printed or typed name of notary