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Pennsylvania Notary Acknowledgment Template

This Notary Acknowledgment form is designed to comply with the laws of the Commonwealth of Pennsylvania, specifically under Title 57, Chapter 32 of the Pennsylvania Consolidated Statutes.

The undersigned notary public certifies that:

  • State: Pennsylvania
  • County: ________________________
  • Date: ________________________

Before me, the undersigned notary public, personally appeared:

  • Name of Signer: ________________________
  • Address: ________________________
  • City, State, Zip: ________________________

Who has presented valid identification and acknowledged that:

  1. The signer is the person whose name is subscribed to the within instrument.
  2. The instrument was executed voluntarily for the purposes therein contained.

This acknowledgment is given under the laws of the Commonwealth of Pennsylvania.

In witness whereof, I have hereunto set my hand and official seal this ____ day of __________, 20__.

Signature of Notary Public: ________________________

Notary Seal:

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