State of ___________
County of ____________
On this [date], before me personally came [owner or operator] to me known, who, being by me duly sworn, did depose and say that they reside at [address], that they are [title] of [corporation], the corporation described in and which executed the above instrument; that they know the seal of said corporation; that the seal affixed to such instrument is such corporate seal; that it was so affixed by order of the Board of Directors of said corporation, and that they signed their name thereto by like order.
[Signature of Notary Public]
S.C. Code Regs. ch. 61, 61-79, 61-79.261, subpt. H, 61-79.261.H.151, app M-2