West Virginia Notary Acknowledgment Form

West Virginia Notary Acknowledgment Form

Last updated June 29th, 2023

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A West Virginia notary acknowledgment is used to certify the signature on a legal document. The certificate is completed and executed by an individual who is qualified to perform notarial acts after they have verified the signer’s identity and witnessed their signature. The completed form must include the acknowledgment date, signer’s name, jurisdiction in which the act was performed, and the notary’s title of office, commission expiration date, and official stamp.

West Virginia notaries are given five-year terms starting on their date of commission (§ 39-4-20(d)).

Online Notarizations

West Virginia Remote Acknowledgment Form – Notaries can use this form when performing remote acknowledgments over video.

Download: PDF, Word (.docx), OpenDocument


Sample (Individual)

Download: PDFWord (.docx)OpenDocument


State of West Virginia
County of [COUNTY NAME]

This record was acknowledged before me this [MM/DD/YYYY] by [SIGNER’S NAME].



Signature of Notarial Officer

Printed Name: [NOTARY’S NAME]
Title of Office: [NOTARY’S TITLE]
My Commission Expires: [DATE]