When the execution of an instrument is proved by proof of the signature of a subscribing witness as provided by G.S. 47-12.1, the certificate required by G.S. 47-13.1 shall be in substantially the following form:
STATE OF________________________________________
(Name of state)
_________________________________________ COUNTY
I, ____________________________, a ______________________________________
(Name of officer taking proof) (Official title of officer taking proof)
of ___________________ COUNTY, _______________________________, certify that
(Name of state)
____________________________________ personally appeared before me this day, and
(Name of person familiar with
handwriting of subscribing witness)
being duly sworn, stated that he knows the handwriting of ________________________,
(Name of subscribing witness)
and that the signature of __________________________ as a subscribing witness to the
(Name of subscribing witness)
foregoing instrument is the signature of _______________________________________
(Name of subscribing witness)
WITNESS my hand and official seal, this the ____ day of ______________, ________
(Month) (Year)
_________________________________________________
(Signature of officer taking proof)
_________________________________________________
(Official title of officer taking proof)
My commission expires _________________________________________________
(Date of expiration of officer's commission)
(1951, c. 379, s. 3; 1999-456, s. 59.)
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Last modified: March 23, 2014