Fillable PDF

California Notary Acknowledgment Form

Download a fillable California acknowledgment certificate for a notarial act.
Download fillable PDF

Review the form and current official requirements before use. NotaryPrimer does not provide legal advice.

When this form may be useful

Use an acknowledgment certificate when the signer acknowledges executing the document and the requested notarial act is an acknowledgment.

Before you use it

Confirm the receiving party requested an acknowledgment, then complete the venue and certificate without changing required statutory wording.

Source and scope

California Civil Code section 1189. Confirm current wording and instructions with the official source.

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