Tennessee Notary Acknowledgment Form

Tennessee Notary Acknowledgment Form

Last updated March 5th, 2024

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A Tennessee notary acknowledgment certifies that an individual’s signature on a legal document is genuine. The acknowledgment form will state that the signer appeared before the notary and declared that they willingly signed the original document. The notary public will need to enter in the acknowledgment date, county, and the signer’s name before stamping the certificate.

Notaries in Tennessee are appointed to a 4-year term by commission of the state governor (§ 8-16-103).

Sample (Individual)

Download: PDFWord (.docx)OpenDocument


State of Tennessee
County of [COUNTY NAME]

On this [DATE], before me personally appeared [SIGNER’S NAME], to me known to be the person(s) described in and who executed the foregoing instrument, and acknowledged that such person(s) executed the same as such person’s free act and deed.

WITNESS my hand and seal, at office in [COUNTY], Tennessee this [DATE].


Notary Public
My Commission Expires: [DATE]