ATTORNEY in FACT (Where Attorney-In-Fact Is a Corporation Being Signed by Secretary)

ATTORNEY-IN-FACT

NORTH CAROLINA, / COUNTY
I, / a Notary Public for / County, North
Carolina, do hereby certify that / , attorney-in-fact for
personally appeared before me this day, and being by me
duly sworn, says that he/she executed the foregoing and annexed instrument for and in behalf of
, and that his/her authority to execute and acknowledge said
instrument is contained in an instrument duly executed, acknowledged, and recorded in the office of the
Register of Deeds, / County, North Carolina, on the / day of / , 20
in Book / at Page / , and that this instrument was executed
under and by virtue of the authority given by said instrument granting
him/her power of attorney; that the said
acknowledged the due execution of the foregoing and annexed instrument for the purposes therein expressed for and in behalf of the said
(Official Seal)
Witness my hand and official seal, this the / day
of / , 20 / .
Notary Public
My commission expires:

ATTORNEY IN FACT (where Attorney-in-Fact is a Corporation being signed by Secretary)

NORTH CAROLINA, / COUNTY
I, / a Notary Public for / County, North
Carolina, do hereby certify that / personally appeared before
me this day, and being by me duly sworn acknowledged to me that he/she is the Secretary of
a corporation,, Attorney in Fact for
, and that by authority duly given and as the act of the corporation,
the foregoing instrument was signed in its name by its President, sealed with its corporate seal and attested
by him/her as its Secretary, for an on behalf of
and its authority to execute and acknowledge said instrument is contained in an instrument duly executed,
acknowledged, and recorded in the office of the Register of Deeds, / County, North Carolina,
on the / day of / , 20 / in Book / at page / ,
and that this instrument was executed under and by virtue of the authority
given by said instrument granting him/her power of attorney; that by and
through its duly authorized officers,
acknowledged the due execution of the foregoing and annexed instrument for the purposes therein expressed for and in behalf of the said
(Official Seal)
Witness my hand and official seal, this the / day
of / , 20 / .
Notary Public
My commission expires:

CITY

North Carolina, / County
I, / , a Notary Public for
County, North Carolina, certify that
personally came
before me this day and acknowledged that he/she is the CLERK of the
CITY OF / , and that by authority duly given, the
(Official Seal) / foregoing instrument was signed in its name by its MAYOR of the CITY OF
, sealed with its corporate seal, and attested by
as its CITY CLERK.
Witness my hand and official seal this the / day of
, 20 / .
Notary Public
My commission expires:

CITY BOARD OF EDUCATION

North Carolina, / County
I, / , a Notary Public for
County, North Carolina, certify that
personally came
before me this day and acknowledged that he/she is the CLERK of the
CITY OF / BOARD OF EDUCATION, and that by
(Official Seal) / authority duly given, the foregoing instrument was signed in its name by its
CHAIRMAN of the CITY OF / BOARD OF EDUCATION,
sealed with its corporate seal, and attested by
as its CLERK.
Witness my hand and official seal this the / day of
, 20 / .
Notary Public
My commission expires:

COUNTY

North Carolina, / County
I, / , a Notary Public for
County, North Carolina, certify that
personally came
before me this day and acknowledged that he/she is the CLERK of the
COUNTYBOARD OF COMMISSIONERS, and that
(Official Seal) / by authority duly given, the foregoing instrument was signed in its name by
its CHAIRMAN of the / COUNTYBOARD OF
COMMISSIONERS, sealed with its corporate seal, and attested by
as its CLERK.
Witness my hand and official seal this the / day of
, 20 / .
Notary Public
My commission expires:

COUNTY BOARD OF EDUCATION

North Carolina, / County
I, / , a Notary Public for
County, North Carolina, certify that
personally came
before me this day and acknowledged that he/she is the CLERK of the
COUNTYBOARD OF EDUCATION, and that by
(Official Seal) / authority duly given, the foregoing instrument was signed in its name by its
CHAIRMAN of the / COUNTYBOARD OF EDUCATION,
sealed with its corporate seal, and attested by
as its CLERK.
Witness my hand and official seal this the / day of
, 20 / .
Notary Public
My commission expires:

CORPORATE (President Only) NORTH CAROLINA

North Carolina, / County
I, / , a Notary Public for
County, North Carolina, do hereby certify that
personally came
before me this day and acknowledged that he/she is president of
, a corporation, and that he/she,
(Official Seal) / as president, being authorized to do so, executed the foregoing on behalf of the corporation.
Witness my hand and official seal this the / day of
, 20 / .
Notary Public
My commission expires:

CORPORATE (with Secretary) NORTH CAROLINA

North Carolina, / County
I, / , a Notary Public for
County, North Carolina, do hereby certify that
personally came
before me this day and acknowledged that he/she is secretary of
, a corporation, and that by
(Official Seal) / authority duly given and as the act of the corporation, the foregoing
instrument was signed in its name by its / , sealed
with its corporate seal, and attested by himself/herself as its secretary.
Witness my hand and official seal this the / day of
, 20 / .
Notary Public
My commission expires:

CORPORATE (President Only) ANY STATE

State of / , / County
I, / , a Notary Public for
County, State of / do hereby
certify that
personally came before me this day and acknowledged that he/she is
president of
(Official Seal) / , a corporation, and that he/she, as president, being authorized to do so,
executed the foregoing on behalf of the corporation.
Witness my hand and official seal this the / day of
, 20 / .
Notary Public
My commission expires:

CORPORATE (with Secretary) ANY STATE

State of / , / County
I, / , a Notary Public for
County, State of / do hereby
certify that
personally came before me this day and acknowledged that he/she is
secretary of
, a corporation, and that by authority duly given and as the act of the corporation, the foregoinginstrument was signed in its name by its
(Official Seal) / , sealed with its corporate seal, and
attested by himself/herself as its secretary.
Witness my hand and official seal this the / day of
, 20 / .
Notary Public
My commission expires:

ESTATE

North Carolina, / County
I, / , a Notary Public for
County, North Carolina, do hereby certify that
,Executor for the Estate of
, deceased, personally
appeared before me this day and acknowledged the due execution of the foregoing instrument.
(Official Seal) / Witness my hand and official seal this the / day of
, 20 / .
Notary Public
My commission expires:

ESTATE (No Will for deceased)

North Carolina, / County
I, / , a Notary Public for
County, North Carolina, do hereby certify that
, Heirs of
, deceased, and
, Administrator of the Estate of
, deceased,
(Official Seal) / personally appeared before me this day and acknowledged the due execution of the foregoing instrument.
Witness my hand and official seal this the / day of
, 20 / .
Notary Public
My commission expires:

GUARDIAN

North Carolina, / County
I, / , a Notary Public for
County, North Carolina, do hereby certify that
,Guardian for
personally appeared
before me this day and acknowledged the due execution of the foregoing instrument.
(Official Seal) / Witness my hand and official seal this the / day of
, 20 / .
Notary Public
My commission expires:

INDIVIDUAL (GRANTOR) IN NORTH CAROLINA

North Carolina, / County
I, / , a Notary Public for
County, North Carolina, do hereby certify that
personally appeared before me this day and acknowledged the due execution of the foregoing instrument.
(Official Seal) / Witness my hand and official seal this the / day of
, 20 / .
Notary Public
My commission expires:

INDIVIDUAL (GRANTOR) IN NORTH CAROLINA (with extra name lines)

North Carolina, / County
I, / , a Notary Public for
County, North Carolina, do hereby certify that
(Official Seal) / personally appeared before me this day and acknowledged the due execution of the foregoing instrument.
Witness my hand and official seal this the / day of
, 20 / .
Notary Public
My commission expires:

INDIVIDUAL (GRANTOR) IN ANY STATE

State of / , / County
I, / , a Notary Public for
County, State of / do hereby
certify that
personally appeared before me this day and acknowledged the due execution of the foregoing instrument.
(Official Seal) / Witness my hand and official seal this the / day of
, 20 / .
Notary Public
My commission expires:

INDIVIDUAL (GRANTOR) IN ANY STATE (with additional name lines)

State of / , / County
I, / , a Notary Public for
County, State of / do hereby
certify that
personally appeared before me this day and acknowledged the due execution of the foregoing instrument.
(Official Seal) / Witness my hand and official seal this the / day of
, 20 / .
Notary Public
My commission expires:

LIMITED LIABILITY COMPANY

North Carolina, / County
I, / , a Notary Public for
County, North Carolina, do hereby certify that
of
, a limited liability company,
(Official Seal) / personally came before me this day and acknowledged the due execution of the foregoing instrument on behalf of the company.
Witness my hand and official seal this the / day of
, 20 / .
Notary Public
My commission expires:

LIMITED LIABILITY COMPANY

(Manager of the LLC is a Partnership)

North Carolina, / County
I, / , a Notary Public for
County, North Carolina, do hereby certify that
General Partner in
, a General Partnership, which
is Manager of
(Official Seal) / a limited liability company, personally came before me this day and acknowledged the due execution of the foregoing instrument on behalf of the company.
Witness my hand and official seal this the / day of
, 20 / .
Notary Public
My commission expires:

LIMITED LIABILITY COMPANY

(Manager of the LLC is a Corporation)

North Carolina, / County
I, / , a Notary Public for
County, North Carolina, do hereby certify that
personally came
before me this day and acknowledged that he/she is Secretary of
, a corporation, manager of
a limited liability company and
(Official Seal) / that by authority duly given and as the act of the corporation, the foregoing instrument was signed in its name by its President, sealed with its corporate seal, and attested by him/her as its Secretary, on behalf of the said limited liability company.
Witness my hand and official seal this the / day of
, 20 / .
Notary Public
My commission expires:

MILITARY

On this the / day of / , / 20 / , before me
the undersigned officer, personally appeared
known to me to be serving in or with the Armed Forces of the United States and to be the person whose name is subscribed to within the instrument, and acknowledged that he/she executed the same for the purposes therein contained, and the undersigned does further certify that he/she is at the date of this certificate a commissioned officer of the rank stated below and is in the active service of the Armed Forces of the United States.
Name and Rank of Officer
Command

MUNICIPAL CORPORATION

North Carolina, / County
I, / , a Notary Public for
County, North Carolina, certify that
personally came
before me this day and acknowledged that he/she is the CLERK of the
CITY OF / , a Municipal Corporation, and that by
(Official Seal) / authority duly given, and as the act of the Corporation, the foregoing instrument was signed in its name by its MAYOR, sealed with its corporate seal, and attested by himself/herself as its CLERK.
Witness my hand and official seal this the / day of
, 20 / .
Notary Public
My commission expires:

PARTNERSHIP

North Carolina, / County
I, / , a Notary Public for
County, North Carolina, do hereby certify that
a partner in
, a partnership, personally
(Official Seal) / came before me this day and acknowledged the due execution of the foregoing instrument.
Witness my hand and official seal this the / day of
, 20 / .
Notary Public
My commission expires:

PARTNERSHIP (d/b/a)

North Carolina, / County
I, / , a Notary Public for
County, North Carolina, do hereby certify that
doing business as
, a partnership, personally
(Official Seal) / came before me this day and acknowledged the due execution of the foregoing instrument.
Witness my hand and official seal this the / day of
, 20 / .
Notary Public
My commission expires:

POLITICAL SUBIDIVISION

North Carolina, / County
I, / , a Notary Public for
County, North Carolina, certify that
personally came
before me this day and acknowledged that he/she is the CLERK of
, and that by authority duly given, the
(Official Seal) / the foregoing instrument was signed in its name by
its CHAIRMAN, sealed with its corporate seal, and attested by
as its CLERK.
Witness my hand and official seal this the / day of
, 20 / .
Notary Public
My commission expires:

REGISTER OF DEEDS CERTIFICATION

The foregoing Certificate(s) of
is/are certified to be correct. This instrument and this certificate are duly registered on the / day of
, 20 / in Book / , Page / at / o’clock / M.
REGISTER OF DEEDS FOR / COUNTY
BY: / Deputy/Assistant - Register of Deeds

SUBSCRIBING WITNESS

STATE OF NORTH CAROLINA, / COUNTY
I, / a Notary Public of
County, North Carolina, certify that
personally appeared
before me this day, and being duly sworn, stated in his/her presence
(Official Seal)
signed the foregoing instrument.
Witness my hand and official stamp or seal, this the / day of
, 20 / .
Notary Public
My commission expires:

SUBSCRIBING WITNESS (LLC)

STATE OF NORTH CAROLINA, / COUNTY
I, / a Notary Public of
County, North Carolina, certify that
personally appeared
before me this day, and being duly sworn, stated in his/her presence
(Official Seal) / Manager for
, a North Carolina Limited Liability
Company, signed the foregoing instrument on behalf of the company.
Witness my hand and official stamp or seal, this the / day of
, 20 / .
Notary Public
My commission expires:

SUBSCRIBING WITNESS (Limited Partnership)

STATE OF NORTH CAROLINA, / COUNTY
I, / a Notary Public of
County, North Carolina, certify that
personally appeared
before me this day, and being duly sworn, stated in his/her presence
(Official Seal) / General Partner for
, a North Carolina Limited
Partnership, signed the foregoing instrument on behalf of the company.
Witness my hand and official stamp or seal, this the / day of
, 20 / .
Notary Public
My commission expires:

TOWN

North Carolina, / County
I, / , a Notary Public for
County, North Carolina, certify that
CLERK of the TOWN of
personally came before me this day and being
(Official Seal) / duly sworn, says that he/she knows the common seal of the TOWN OF
and is acquainted with
MANAGER of / and that he/she
is the CLERK of the said Town of / and saw the said
MANAGER OF / sign the foregoing, and the seal of
said Town of / was affixed to said instrument by the
said / , CLERK of the Town of
all by order of the Town Board of Commissioners of said Town of
and he signed his name in attestation of said instrument,
and that the said instrument is the act and deed of the said Town of
.
Witness my hand and official seal this the / day of
, 20 / .
Notary Public
My commission expires:

TRUST (REVOCABLE OR IRREVOCABLE)

North Carolina, / County
I, / , a Notary Public for
County, North Carolina, do hereby certify that
Trustee for the (Revocable)/(Irrevocable)
Trust dated / personally appeared before me
this day and acknowledged the due execution of the foregoing instrument.
(Official Seal) / Witness my hand and official seal this the / day of
, 20 / .
Notary Public
My commission expires:

TRUSTEES

North Carolina, / County
I, / , a Notary Public for
County, North Carolina, do hereby certify that
(Official Seal) / Trustee, personally appeared before me this day and acknowledged the due execution of the foregoing instrument.
Witness my hand and official seal this the / day of
, 20 / .
Notary Public
My commission expires:

Notaries

Revised 3/3/14