Mississippi Notary Acknowledgment Form

Mississippi Notary Acknowledgment Form

Last updated March 5th, 2024

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A Mississippi notary acknowledgment is a written confirmation that an individual’s signature has been authenticated by a notary public. The acknowledgment form proves that the person who signed the document went to the notary in person, showed the document that needed to be notarized, and declared they signed it willingly. It also proves that the person understood what they were signing and that the notary verified their identity.

A notary public’s term of commission will end when their surety bond expires, which is no later than 4 years from the date of commission (1 Miss. Code R. § 5-2.6(A)).

Is Electronic Notarization Legal in Mississippi?

Yes. Starting July 1, 2021, Mississippi notaries can perform electronic, in-person notarial acts using notarization platforms approved by the Secretary of State.

  • Note: The governor issued Executive Order 1467, effective April 7, 2020, which allowed notarial acts to be performed remotely during the COVID-19 pandemic. However, this temporary order has expired, and notaries can no longer conduct notarizations without the signer’s physical presence.

Statutes: Revised Notary Rules, Rule 8.1

Sample (Individual)

Download: PDFWord (.docx)OpenDocument


State of Mississippi
County of [COUNTY NAME]

Personally appeared before me, the undersigned authority in and for the said county and state, on this [DAY] day of [MONTH], [YEAR], within my jurisdiction, the within named [NAME OF SIGNER(S)], who acknowledged that he/she/they executed the above and foregoing instrument.

Signature of Notarial Officer
Title of Office: [NOTARY’S TITLE]
My Commission Expires: [MM/DD/YYYY]

(Affix official seal, if applicable)