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South Dakota Notary Acknowledgment – Public Officer – Fiduciary

The South Dakota Public Officer/Fiduciary Notary Acknowledgement is the form used by any public officer or deputy thereof, as well as any trustee, conservator, guardian or personal representative. The fiduciary or public officer will be required to appear before the notary public, prove that they are the public officer or representative, and acknowledge that their signature was provided for the purposes contained within the initial document.

Laws – SD Codified L § 18-5-11




State of South Dakota


County of ___________

On this ____ day of _________, 20______ [Day/Month/Year], before me, ___________ [Name of Officer], the undersigned officer, personally appeared ________________ [Name of Public Officer/Fiduciary], of the state, county or city as the case may be of __________ [Name of State/County/City], known to me or satisfactorily proven to be the person described in the foregoing instrument, and acknowledged that he/she executed the same in the capacity therein stated and for the purposes therein contained.

In witness whereof I hereunto set my hand and official seal.



(Title of officer)

My commission expires:__________