47-43.4. Officer's certificate upon proof of instrument by proof of signature of subscribing witness.
When the execution of an instrument is proved by proof of the signature of a subscribing witness as provided by G.S. 47-12.1, the certificate required by G.S. 47-13.1 shall be in substantially the following form:
(Name of state)
I, ____________________________, a ______________________________________
WITNESS my hand and official seal, this the ____ day of ______________, ________
My commission expires _________________________________________________
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