On the ____ day of ____ in the year ____ before me, the undersigned, personally appeared. , personally known to me or proved to me on the basis of satisfactory.If your child was born in a hospital outside New York City, and you are signing the Acknowledgment of. To make the acknowledgment valid, it must include the words. "acknowledged before me. Complaint sample. PDF. Complaint fill in. PDF. Specify the basis for the rate paid, i.e. Salary for varying hours, day rate, etc. Fill out, sign, and affix your official seal to the Notary certificate.