The certificate of acknowledgment by an attorney in fact must be substantially in the following form:
Territory of ____________ or State of _________________
County of ___________________ ss
On this _____ day of _______________, in the year ______ before me, personally appeared ________________________________________, known to me (or proved to me on the oath of ____________________ ) to be the person who is described in and whose name is subscribed to the within instrument as the attorney in fact of _____________________________, and acknowledged to me that he subscribed the name of ___________________________ thereto as principal and his own name as attorney in fact.
Source: CivC 1877, § 666, subdiv 4; CL 1887, § 3288, subdiv 3; RCivC 1903, § 981, subdiv 3; RC 1919, § 587 (3); SDC 1939, § 51.1615 (3).
See Cal Civ Code, § 1193.
No guidelines are available for this form at this time.