"Facsimile Signature Certificate Form" - Colorado

Facsimile Signature Certificate Form is a legal document that was released by the Colorado Secretary of State - a government authority operating within Colorado.

Form Details:

  • Released on January 1, 2017;
  • The latest edition currently provided by the Colorado Secretary of State;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Colorado Secretary of State.

ADVERTISEMENT
ADVERTISEMENT

Download "Facsimile Signature Certificate Form" - Colorado

419 times
Rate (4.3 / 5) 21 votes
Document processing fee
$10.00
Certification fee
$ 5.00
Expedite fee (same day service)
$10.00
Fees & forms/cover sheets are subject to change.
FACSIMILE SIGNATURE CERTIFICATE
Title 11 - Article 55
STATE OF COLORADO
COUNTY OF ____________________________
On this day, ________________________________, personally appeared before me, the undersigned
(Print name of person appearing)
authority, and, known to me and being by me duly sworn upon his/her oath, deposed and said:
1. That he/she is the duly and lawfully appointed, qualified, sworn and acting officer of
____________________________________________________________________________
____________________________________________________________________________.
2. That the signature appearing below is his/her own manually executed signature in the form and
manner used to execute all official documents in my official capacity, hereinabove designated.
3. That hereto affixed is an impression of the official seal of _______________________ County,
Colorado as the same has been authorized and used for official documents.
(S E A L)
___________________________________
_____________________________
SIGNATURE
TITLE
Subscribed and sworn to before me this ______ day of _________________, 20_____.
______________________________
Notary Public
(S E A L)
FACS
Page 1 of 1
Rev. 1/01/2011
Document processing fee
$10.00
Certification fee
$ 5.00
Expedite fee (same day service)
$10.00
Fees & forms/cover sheets are subject to change.
FACSIMILE SIGNATURE CERTIFICATE
Title 11 - Article 55
STATE OF COLORADO
COUNTY OF ____________________________
On this day, ________________________________, personally appeared before me, the undersigned
(Print name of person appearing)
authority, and, known to me and being by me duly sworn upon his/her oath, deposed and said:
1. That he/she is the duly and lawfully appointed, qualified, sworn and acting officer of
____________________________________________________________________________
____________________________________________________________________________.
2. That the signature appearing below is his/her own manually executed signature in the form and
manner used to execute all official documents in my official capacity, hereinabove designated.
3. That hereto affixed is an impression of the official seal of _______________________ County,
Colorado as the same has been authorized and used for official documents.
(S E A L)
___________________________________
_____________________________
SIGNATURE
TITLE
Subscribed and sworn to before me this ______ day of _________________, 20_____.
______________________________
Notary Public
(S E A L)
FACS
Page 1 of 1
Rev. 1/01/2011
Mail form with correct payment to:
Colorado Secretary of State
1700 Broadway Ste 200
Denver, CO 80290
Make checks payable to: Colorado Secretary of State
Include a separate check for each form submitted for filing.
If a document is rejected, this will allow us to return the check at
the time of rejection (if applicable). The document can be
corrected and resubmitted with the returned check.
Checks must be written for the exact amount
or the document may be rejected and returned.
Do not include this page with your filing.
Page of 2