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G.S.

10B-43 NOTARIAL CERTIFICATE FOR AN OATH OR


AFFIRMATION

North Carolina

County of _______________

Signed and sworn to (or affirmed) before me this day by .


Name of principal

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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