Acknowledgment by Attorney in Fact

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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:

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