Mo. Rev. Stat. § 486.755
A notary shall use a jurat certificate in substantially the following form in notarizing a signature or mark on an affidavit or other sworn or affirmed written declaration:
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 who signed the preceding or attached document in my presence and who swore or affirmed to me that the contents of the document are truthful and accurate to the best of (his)(her) knowledge and belief. |
__________________ (official signature and seal of notary) |
§ 486.755, RSMo