Upon compliance with the requirements of NRS 240.1655, the following certificate is sufficient for executing a jurat:
State of Nevada
County of................................
Signed and sworn to (or affirmed) before me on .......(date)....... by .......(name(s) of person(s) making statement)........
.......................................................................
(Signature of notarial officer)
(Seal, if any)
.......................................................................
(Title and rank (optional))
NRS 240.167