Notary: Please complete the following. No other acknowledgement is acceptable (see instructions).
The person who signed is known to or was identified by me, and, before me, signed or acknowledged to have signed this form. In witness thereof, I have signed below on this _________ day of ___________, ______________.

My commission expires:________________Notary Public Signature: ______________

While this appears tricky and may leave you second guessing, the short answer is YES.
You can notarize the document even though it does not comply with the exact or substantially similar notary language for 2 reasons.

1. The document is not asking you notarize the capacity or title in which the signer is signing the document.
2. The document is not being filed in California.

This is true for all out of state documents that have preprinted notarial language on it that requires an acknowledgment. If the notarized document is being filed or recorded in California, you MUST complete the California All-Purpose Acknowledgment.