Connecticut Notary Acknowledgment Form

Connecticut Notary Acknowledgment Form

Last updated June 29th, 2023

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A Connecticut notary acknowledgment is attached to a document by a notary public to validate an individual’s signature. Having a notary complete one of these certification forms means the signing party was identified properly and that they signed without coercion. After the individual signs the document, the notary public will date, sign, and stamp the acknowledgment form.

Notaries public must renew their appointment every 5 years (§ 33-3-94c(a)).

Is Online Notarization Legal in Connecticut?

No, online notarization was available until July 1, 2021, but is no longer authorized in the state.

Sample (Individual)

Download: PDF, Word (.docx), OpenDocument


State of Connecticut
County of [COUNTY] ss. [TOWN/CITY] (Town/City)

On this the [MM/DD/YYYY] before me, [NOTARY PUBLIC NAME], the undersigned officer, personally appeared [SIGNER NAME(S)], known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that he/she/they executed the same for the purposes therein contained.

In witness whereof, I hereunto set my hand.

Signature of the Notary Public: ________________________
Date Commission Expires: [MM/DD/YYYY]
Printed Name of Notary Public: [NOTARY PUBLIC NAME]
Title of Officer: [NOTARY PUBLIC TITLE]