State (territory or district) of .......... county of .........., to wit:
I, .........., a commissioner appointed by the governor of the State of West Virginia for the said State of .........., (or territory or district of ..........); or I, .........., a justice of the peace of the said county of ..........; or I, .........., a notary public of the said county of ..........; or I, .........., prothonotary (or clerk) of the ......... court or county of ........; (or other officer or person authorized to take acknowledgments by section three of this article, as the case may be),* do certify .......... and .........., his wife whose names are signed to the writing above (or hereto annexed) bearing date the ..... day of .........., 19....., have this day acknowledged the same before me in my said ...........
Given under my hand this ......... day of ........., 19.......
If the husband or wife acknowledge a deed or other writing separately from the other, the certificate of acknowledgment after the star in the foregoing form shall be in form or effect as follows: do certify that .........., the wife of .........., (or the husband of .........., as the case may be), whose name is signed to the writing above (or hereto annexed) bearing date the .......... day of .........., 19....., has this day acknowledged the same before me in my said ..........
Given under my hand this .......... day of .........., 19.....