Massachusetts Notary Acknowledgment Form

Massachusetts Notary Acknowledgment Form

Last updated June 29th, 2023

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Massachusetts notary acknowledgment is used to confirm the legitimacy of a signature on a legal document. A notary acknowledgment verifies that the signer personally appeared before a notary public, proved their identity, and willingly provided their signature on the document. The form must be filled out to include the acknowledgment information (location, date, signer’s name) and the notary’s signature, seal, and commission expiration date.

A notary public can perform notarial acts for 7 years before they’re required to renew their commission (MGL ch. 222, § 14).

Sample (Individual)

Download: PDFWord (.docx)OpenDocument


Commonwealth of Massachusetts

County of [COUNTY]

On this [DAY] day of [MONTH], [YEAR], before me, the undersigned officer, personally appeared [SIGNER’S NAME], proved to me through satisfactory evidence of identification, which was/were [TYPE(S) OF IDENTIFICATION PROVIDED], 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.

Notary Public Signature: ___________________
My Commission Expires: [MM/DD/YYYY]