North Carolina General Statutes
Article 3 - Forms of Acknowledgment, Probate and Order of Registration.
§ 47-43.2 - Officer's certificate upon proof of instrument by subscribing witness.

47-43.2. Officer's certificate upon proof of instrument by subscribing witness.
When the execution of an instrument is proved by a subscribing witness as provided by G.S. 47-12, the certificate required by G.S. 47-13.1 shall be in substantially the following form:
I, ______________________________, a ___________________________________
(Name of officer taking proof) (Official title of officer taking proof)
(Name of subscribing witness)
WITNESS my hand and official seal, this the __________ day of________________,
________
Provided, however, that when instruments have been recorded upon proof of execution of the instrument by certificate of a judicial officer, showing that execution was proven by oath and examination of the subscribing witness, the date of such examination, and the signature of the officer taking the proof, such proof of execution shall be deemed sufficient on all instruments filed for registration prior to March 15, 1961. (1951, c. 379, s. 3; 1953, c. 1078, s. 3; 1955, c. 1345, s. 6; 1961, c. 237; 1999-456, s. 59.)