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G.S.

10B-42 NOTARIAL CERTIFICATE FOR A


VERIFICATION OR PROOF

North Carolina

County of _______________

I certify that personally appeared before me this day and


Name of subscribing witness
certified to me under oath or by affirmation that he or she is not a named party to the

foregoing document, has no interest in the transaction, signed the foregoing document as

a subscribing witness, and either witnessed (the principal)


Name of principal
sign the foregoing document or witnessed the principal acknowledge the principal’s

signature on the already-signed document.

Witness my hand and official seal, this the _____ day of _____________, 20___.

(Official Seal)
Official Signature of Notary

, Notary Public
Notary’s printed or typed name

My commission expires:

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