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Page 1: 10B-43 Notarial Certificate for Oath or Affirmation

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: