__________________ County, North Carolina
I certify that (name of subscribing witness) personally appeared before me this day and certified to me under oath or by affirmation that he or she is not a grantee or beneficiary of the transaction, signed the foregoing document as a subscribing witness, and either (i) witnessed (name of principal) sign the foregoing document or (ii) witnessed (name of principal) acknowledge his or her signature on the already-signed document.
Date: ____________________ Official Signature of Notary
Notary's printed or typed name, Notary Public
(Official Seal) My commission expires: ________
N.C. Gen. Stat. § 10B-42