I, _______________________________, do hereby swear or affirm that the document owner attached is a true copy of description of document copy contains no alterations form the original. ____________________________________ Principal’s signature and that this

North Carolina County of _______________ I, , a Notary Public for

County, North Carolina, do hereby certify that Name of principal personally appeared before me this day and acknowledged the due execution of the foregoing instrument.

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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