Choose ONE of the two following statements. 

The first statement is for use on documents that are *generated by* the parent -- the notary witnesses the parent sign the document.  The second example is for COPIES of documents you *DO NOT SIGN* like the I-171H, passport pages, or any other document notarized as a COPY.

Feel free to copy and paste directly into a word processor: 

STATE OF FLORIDA

COUNTY OF ____________

Sworn to and subscribed before me this ____ day of _________, 20xx by (name of person signing the document.)

___________________
Notary Public

Personally known ____ OR
Produced ID _____
Type of ID Produced ___________________________________


For COPIES:

STATE OF FLORIDA

COUNTY OF _________

On this _______ day of _________ (year), I attest that the preceding or attached document is a true, exact, complete, and unaltered photocopy made by me of ______________(description of document) presented to me by the document's custodian, _______________, and, to the best of my knowledge, that the photocopied document is neither a vital record nor a public record, certified copies of which are available from an official source other than a notary public.

_______________________ (notary signature)
print, type or stamp name of notary (seal)