Jurat Verification Of Identity Form - State Of California

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JURAT
A notary public or other officer completing this certificate verifies only the identity of
the individual who signed the document to which this certificate is attached, and not
the truthfulness, accuracy, or validity of that document.
State of California
County of _______________________
Subscribed and sworn to (or affirmed) before me on this ____ day of _______________,
20_____ by ____________________________________________________________,
proved to me on the basis of satisfactory evidence to be the person(s) who appeared
before me.
_____________________________
Signature
(Seal)
INSTRUCTIONS
OPTIONAL INFORMATION
The wording of all Jurats completed in California after January 1, 2015 must be in the form
as set forth within this Jurat. There are no exceptions. If a Jurat to be completed does not
follow this form, the notary must correct the verbiage by using a jurat stamp containing the
correct wording or attaching a separate jurat form such as this one with does contain the
proper wording. In addition, the notary must require an oath or affirmation from the
DESCRIPTION OF THE ATTACHED DOCUMENT
document signer regarding the truthfulness of the contents of the document. The
document must be signed AFTER the oath or affirmation. If the document was previously
signed, it must be re-signed in front of the notary public during the jurat process.
___________________________________________
(Title or description of attached document)
 State and county information must be the state and county where the
_____________________________________________________
document signer(s) personally appeared before the notary public.
(Title or description of attached document continued)
 Date of notarization must be the date the signer(s) personally
appeared which must also be the same date the jurat process is
completed.
Number of Pages _____ Document Date__________
 Print the name(s) of the document signer(s) who personally appear at
the time of notarization.
___________________________________________
 Signature of the notary public must match the signature on file with the
office of the county clerk.
Additional information
 The notary seal impression must be clear and photographically
reproducible. Impression must not cover text or lines. If seal impression
smudges, re-seal if a sufficient area permits, otherwise complete a
different jurat form.
Additional information Is not required but could help
to ensure this jurat is not misused or attached to a
different document.
Indicate title or type of attached document, number of
pages and date.
 Securely attach this document to the signed document with a staple.
2015 Version 800-873-9865

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