Mo. Rev. Stat. § 486.750
A notary shall use a certificate in substantially the following form in notarizing the signature or mark of any person acknowledging on his or her own behalf or as a partner, corporate officer, attorney in fact, or in any other representative capacity:
State of Missouri |
County (and/or City) of _________ |
On this ______ day of _____ , 20 _____, before me, the undersigned notary, personally appeared ___________ (name of document signer), (personally known to me)(proved to me through identification documents, which were ________,) (proved to me on the oath or affirmation of ___________, who is personally known to me and stated to me that (he)(she) personally knows the document signer and is unaffected by the document,) (proved to me on the oath or affirmation of _______ and _______, whose identities have been proven to me through identification documents and who have stated to me that they personally know the document signer and are unaffected by the document,) to be the person whose name is signed on the preceding or attached document, and acknowledged to me that (he)(she) signed it voluntarily for its stated purpose(.) |
(as partner for ______________, a partnership.) |
(as _________ for __________, a corporation.) |
(as attorney in fact for _______, the principal.) |
(as ______ for ______, (a)(the) ___________) |
_________________ (official signature and seal of notary) |
§ 486.750, RSMo