ACKNOWLEDGMENT BY ATTORNEY IN FACT
State of
County of
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, say that he executed the foregoing and annexed instrument for and in behalf
of the said , and that his authority to execute and
acknowledge said instrument is contained in an instrument duly executed, acknowledged and
recorded in the office of in the County of , State
of , on the day of
, 20 , and that this instrument was executed under and by virtue of the
authority given by said instrument granting him power of attorney.
I do further certify that the said acknowledged the due
execution of the foregoing and annexed instrument for the purposed therein expressed for and in
behalf of the said .
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:
OPTIONAL
This certificate is attached to a __________________________, signed by _______________________
Title/Type of Document Name of Principal Signer(s)
on ___________________ , and includes __________ pages.
Date # of pages