STATE OF FLORIDA
COUNTY OF
On this day of, (year) , I attest that the preceding or attached document is a true, exact, complete, and unaltered photocopy made by me of (description of document) presented to me by the document's custodian,, and, to the best of my knowledge, that the photocopied document is neither a vital record nor a public record, certified copies of which are available from an official source other than a notary public.
(Official Notary Signature and Notary Seal)
(Name of Notary Typed, Printed or Stamped)
STATE OF FLORIDA
COUNTY OF
On this day of, (year) , I attest that the preceding or attached document is a true, exact, complete, and unaltered (copy of a tangible or an electronic record presented to me by the document's custodian) or a (printout made by me from such record) . If a printout, I further attest that, at the time of printing, no security features, if any, present on the electronic record, indicated that the record had been altered since execution.
(Signature of Notary Public - State of Florida)
(Print, Type, or Stamp Commissioned Name of Notary Public)
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) and subscribed before me by means of [] physical presence or [] online notarization, this day of, (year) , by (name of person making statement) .
(Signature of Notary Public - State of Florida)
(Print, Type, or Stamp Commissioned Name of Notary Public)
Personally Known OR Produced Identification
Type of Identification Produced
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me by means of [] physical presence or [] online notarization, this day of, (year) , by (name of person acknowledging) .
(Signature of Notary Public - State of Florida)
(Print, Type, or Stamp Commissioned Name of Notary Public)
Personally Known OR Produced Identification
Type of Identification Produced
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me by means of [] physical presence or [] online notarization, this day of, (year) , by (name of person) as (type of authority, . . . e.g. officer, trustee, attorney in fact) for (name of party on behalf of whom instrument was executed) .
(Signature of Notary Public - State of Florida)
(Print, Type, or Stamp Commissioned Name of Notary Public)
Personally Known OR Produced Identification
Type of Identification Produced
(First Name) (Last Name)
(His (or Her) Mark)
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me by means of [] physical presence or [] online notarization, this day of, (year) , by (name of person making statement) , who signed with a mark in the presence of these witnesses:
(Signature of Notary Public - State of Florida)
(Print, Type, or Stamp Commissioned Name of Notary Public)
Personally Known OR Produced Identification
Type of Identification Produced
(First Name) (Last Name)
(His (or Her) Mark)
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me by means of [] physical presence or [] online notarization, this day of, (year) , by (name of person acknowledging) , who signed with a mark in the presence of these witnesses:
(Signature of Notary Public - State of Florida)
(Print, Type, or Stamp Commissioned Name of Notary Public)
Personally Known OR Produced Identification
Type of Identification Produced
The notary public must maintain the proof of direction and authorization to sign on behalf of the person with a disability for 10 years from the date of the notarial act.
STATE OF FLORIDA
COUNTY OF
Sworn to (or affirmed) before me by means of [] physical presence or [] online notarization, this day of, (year) , by (name of person making statement) , and subscribed by (name of notary) at the direction of (name of person making statement) by (written, verbal, or other means) , and in the presence of these witnesses:
(Signature of Notary Public - State of Florida)
(Print, Type, or Stamp Commissioned Name of Notary Public)
Personally Known OR Produced Identification
Type of Identification Produced
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me by means of [] physical presence or [] online notarization, this day of, (year) , by (name of person acknowledging) and subscribed by (name of notary) at the direction of (name of person acknowledging) , and in the presence of these witnesses:
(Signature of Notary Public - State of Florida)
(Print, Type, or Stamp Commissioned Name of Notary Public)
Personally Known OR Produced Identification
Type of Identification Produced
Fla. Stat. § 117.05