Notary Statement is very much important in our legal and other important activities. Notary Statement is intended to authorize some event or order which is submitted for review and authentication. Notary Statement becomes exceptionally important when you are to legalize some document for any legal procedure.

Here is for your reference a sample general format for notary statement but remember you can modify it according to your own requirement or to include some special customization.

[ name of state ]
[ name of country ]

On this day, personally appeared before me
((___________write name here_________)),
to me known to be the person described in and who executed the within and foregoing instrument, and acknowledged that he/she signed the same as his/her voluntary act and deed, for the uses and purposes therein mentioned.

(Notary Public)

My Commission Expires: ____________________

Notary Statement