New York Notary Acknowledgment Form

New York Notary Acknowledgment Form

Last updated June 30th, 2023

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New York notary acknowledgment is used to confirm the legitimacy of an individual’s identity and signature on a document. A notary public will fill out the form to record the acknowledgment, which is simply a statement that the individual signing the document is who they say they are and that they acknowledged their signature on the instrument. If the signer is acknowledging outside of New York, the form must indicate the state, country, or territory where it took place.

Notaries in New York must renew their commission every four years (NY EXC § 130).

Is Online Notarization Legal in New York?

Yes, on February 24, 2022, Senate Bill S7780 was passed, allowing remote notarization in New York State. The notarial officer must keep all records of electronic notarization for at least ten years and is required to execute a certificate of authenticity with an ink signature to verify the act.

Statute: NY EXC § 135-c

Sample (Individual)

Download: PDF, Word (.docx), OpenDocument


State of New York
County of [COUNTY]


)        ss:)

On the [DAY] day of [MONTH] in the year [YEAR] before me, the undersigned, personally appeared [SIGNATORY NAME], personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) [is/are] subscribed to the within instrument and acknowledged to me that [he/she/they] executed the same in [his/her/their] capacity(ies), and that by [his/her/their] signature(s) on the instrument, the individual(s), or the person upon behalf of which the individual(s) acted, executed the instrument. 


Notary Public State of New York

My Commission Expires: [MM/DD/YYYY]