CITY OF WASHINGTON)
DISTRICT OF COLUMBIA)
I, A.B., a notary public [or other officer authorized] in and for the District of Columbia, do hereby certify that C.D., party to a certain deed bearing date on the ___________ day of _____________, and hereto annexed, personally appeared before me in said District, the said C.D. being personally well known to me as [or, proved by the oath of credible witnesses to be] the person who executed the said deed, and acknowledged the same to be his act and deed.
Given under my hand and seal this __________ day of ___________, 20_______
My commission expires: ______________
No guidelines are available for this form at this time.