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WEST VIRGINIA CODE
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WVC 29 C- 5 - 101 §29C-5-101. Acknowledgment forms.
(a) The forms of acknowledgment set forth in section six, article one-a, chapter thirty-nine of this code, and known as "statutory short forms of acknowledgment" may be used and are sufficient for their respective purposes under any law of this state, whether the acknowledgment was taken within or without this state.

(b) Certificates of acknowledgment for the following purposes may be substantially in the following respective form:

(1) By a United States citizen who is outside of the United States ____________________________ (description or location of place where acknowledgment is taken).

On this _____day of ____________, in the year ________, before me _______________________ (name and title of person acting as a notary and refer to law or authority granting power to act as a notary), personally appear ______________ ________________ (name of citizen) known to me to be the person who executed the within ____________________________ (type of document) and acknowledged to me that _______ (he) executed the same for the purposes therein stated.

___________________________________________________

(Official signature and official seal of person

acting as a notary and refer to law or

authority granting power to act as a notary)

(2) By an individual who cannot write his name,

State of ________________, County of __________________.

On this _____ day of ____________, in the year _____, before me ____________________________ (name of notary), a notary public in and for said state, personally appeared ___________________________________ (name of individual), known to me to be the person who, being unable to write his name, made his mark in my presence. I signed his name at his request and in his presence on the within _______________________ (type of document) and he acknowledged to me and the two witnesses who have signed and printed their names and addresses hereto, that he made his mark on the same for the purposes therein stated.

_________________________________________________

(Official signature and official seal of notary

_________________________________________________

_________________________________________________

(Signatures of two witnesses and their addresses)

Note: WV Code updated with legislation passed through the 2013 1st Special Session
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