(2) For an acknowledgment in a representative capacity: State of. The Applicant must complete and sign this Acknowledgement and Attestation Form.A Pennsylvania notary acknowledgment form is used to authenticate the signing of a document. It indicates that all parties' signatures are, in fact, their own. Sample Notary Statements are available for the following forms: Acknowledgements; Oaths; Depositions; Affidavits; Certificates. Acknowledgements. Filing Requirements and Fees. How do you fill out an acknowledgment letter? During this fall semester, I will also be completing a writing internship; I am thrilled to have the opportunity to publish work before I graduate. Note, Acknowledgment letter thanking Mr. Robinson for his donation toward furnishing and decorating the Fellowship Commission Building.