Virginia Notary Acknowledgment Form

Virginia Notary Acknowledgment Form

Last updated June 29th, 2023

  1. Home »
  2. Notary Acknowledgment »
  3. Virginia

A Virginia notary acknowledgment is executed by a notary public to certify the signature on a document and verify the signer’s identity. The document will need to include the date and location where the notary witnessed the signature and verified the signer’s identity. If the notarization was performed remotely, the document must state that the notarial act was completed electronically.

Notaries in Virginia are appointed to four-year terms. A commission expires on the last day of the month in which the notary was born four calendar years after the year the commission was issued (§ 47.1-21).

Sample (Individual)

Download: PDFWord (.docx)OpenDocument


State of Virginia
City/County of [CITY/COUNTY NAME]

I hereby certify that on this [DATE], before me, the undersigned Notary Public in and for the Commonwealth of Virginia, at large, personally appeared [SIGNER’S NAME], known to me or satisfactorily proven to be the person whose name is subscribed to the foregoing instrument and acknowledged that he/she executed the foregoing instrument for the purposes set forth herein.


Signature of Notary Public
My Commission Expires: [DATE]
Registration Number: [REGISTRATION #]