I ________________________ (secretary of state of the State of West Virginia, which office is an office of record having a seal) certify that ______________________________ (notary's name), by whom the foregoing or annexed document was notarized, was, at the time of the notarization of the same, a notary public authorized by the laws of this state to act in this state and to notarize the within __________________________ (type of document), and I further certify that the notary's signature on the document is genuine to the best of my knowledge, information and belief and that such notarization was executed in accordance with the laws of this state.
In testimony whereof, I have affixed my signature and the seal of the State of West Virginia, this _____day of __________________, 19___.
_______________________________________
(Certifying officer's signature, title,
jurisdiction, address and the seal
affixed near the signature)