Examples Heading-Signature-Notary - Web viewAbove this space should be written or typed the word...

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EXAMPLES OF HEADINGS, EXECUTION, AND NOTARY FOR VARIOUS GRANTORS 1. Example of grantor heading, execution and acknowledgment of instrument by individuals: Heading THIS DEED, entered into this the 10 day of March, 2010, by and between James Jones, and wife Mary Z. Jones hereinafter referred to as GRANTORS, and the DEPARTMENT OF TRANSPORTATION… Signature IN WITNESS WHEREOF, we have hereunto set our hand and affixed our seals this the day and year first above written. Signature of James Jones (SEAL) Signature of Mary Z. Jones (SEAL) James Jones Mary Z. Jones Notary North Carolina, County I, , a Notary Public for County, North Carolina, do hereby certify that James Jones and Mary Z. Jones personally appeared before me this day and acknowledged the due execution of the foregoing instrument. (Official Seal) Witness my hand and official seal this the 10 day of March , 20 10 . Revised 7-25-14

Transcript of Examples Heading-Signature-Notary - Web viewAbove this space should be written or typed the word...

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EXAMPLES OF HEADINGS, EXECUTION, AND NOTARY FOR VARIOUS GRANTORS

1. Example of grantor heading, execution and acknowledgment of instrument by individuals:

HeadingTHIS DEED, entered into this the 10 day of March, 2010, by and between James Jones, and wife Mary Z. Jones hereinafter referred to as GRANTORS, and the DEPARTMENT OF TRANSPORTATION…

SignatureIN WITNESS WHEREOF, we have hereunto set our hand and affixed our seals this the day and year first above written.

Signature of James Jones (SEAL) Signature of Mary Z. Jones (SEAL)James Jones Mary Z. Jones

Notary

North Carolina, CountyI, , a Notary Public for

County, North Carolina, do hereby certify that

James Jones and Mary Z. Jonespersonally appeared before me this day and acknowledged the due execution of the foregoing instrument.

(Official Seal) Witness my hand and official seal this the 10 day ofMarch , 20 10 .

Notary Public

My commission expires:

Revised 7-25-14

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2. Example of execution of instrument by individuals involving a subscribing witness

HeadingTHIS DEED, entered into this the 10 day of March, 2010, by and between James Jones, and wife Mary Z. Jones hereinafter referred to as GRANTORS, and the DEPARTMENT OF TRANSPORTATION…

SignatureIN WITNESS WHEREOF, we have hereunto set our hand and affixed our seals this the day and year first above written.

Signature of James Jones (SEAL) Signature of Mary Z. Jones (SEAL)James Jones Mary Z. Jones

Witness: Signature of John Smith(SEAL) John Smith

Notary

STATE OF NORTH CAROLINA, COUNTY

I, a Notary Public ofCounty, North Carolina, certify that

John Smith personally appearedbefore me this day, and being duly sworn, stated in his/her presence

(Official Seal) James Jones and Mary Z. Jonessigned the foregoing instrument.

Witness my hand and official stamp or seal, this the 10 day ofMarch , 20 10 .

Notary Public

My commission expires:

Revised 7-25-14

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3. Example of execution of instrument by individual unable to sign:

Persons unable to sign their names may execute instruments by making a mark. The name of the signer should be written in the appropriate place leaving a space between the given name and the surname. Above this space should be written or typed the word "his" or "her", and below the space should be written or typed the word "mark". The person signing should make his or her mark (typically an X, in this space. The mark must be witnessed by someone, not a spouse or an employee of the Department of Transportation, and beneath the signature of such subscribing witness should appear the words "Witness to the mark of __________________" shown as follows:

HeadingTHIS DEED, entered into this the 10 day of March, 2010, by and between James Jones, and wife Mary Z. Jones hereinafter referred to as GRANTORS, and the DEPARTMENT OF TRANSPORTATION…

SignatureIN WITNESS WHEREOF, we have hereunto set our hand and affixed our seals this the day and year first above written.

His James (X) Jones (SEAL) Signature of Mary Z. Jones (SEAL) Mark Mary Z. Jones

Witness to the mark of James Jones: Signature of John Smith(SEAL) John Smith

Notary

North Carolina, CountyI, , a Notary Public for

County, North Carolina, do hereby certify that

James Jones and Mary Z. Jonespersonally appeared before me this day and acknowledged the due execution of the foregoing instrument.

(Official Seal) Witness my hand and official seal this the 10 day ofMarch , 20 10 .

Notary Public

My commission expires:

Revised 7-25-14

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4. Example of acknowledgment of instrument by individual in the military:

On this the day of , 20 , before methe undersigned officer, personally appearedknown to me to be serving in or with the Armed Forces of the United States and to be the person whose name is subscribed to within the instrument, and acknowledged that he/she executed the same for the purposes therein contained, and the undersigned does further certify that he/she is at the date of this certificate a commissioned officer of the rank stated below and is in the active service of the Armed Forces of the United States.

(Signature of Officer)Name and Rank of Officer

Command

Revised 7-25-14

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5. Example of grantor heading, execution and acknowledgment of instrument by an official of the corporation without the execution of the instrument by an attesting officer and without the affixing of a corporate seal (New Method):

Heading

THIS DEED , entered into this the 10 day of March, 2010 , by and between SMITH SAUSAGE COMPANY, INC., a North Carolina Corporation hereinafter referred to as GRANTORS, and the DEPARTMENT OF TRANSPORTATION,

Signature

IN WITNESS WHEREOF, we have hereunto set our hand and affixed our seal this the day and year first above written.

SMITH SAUSAGE COMPANY, INC. A North Carolina Corporation

BY: Signature of Henry H. Smith Henry H. Smith President

Notary

North Carolina, CountyI, , a Notary Public for

County, North Carolina, do hereby certify thatHenry H. Smith personally camebefore me this day and acknowledged that he/she is president ofSMITH SAUSAGE COMPANY, INC. , a corporation, and that

(Official Seal) he/she, as president, being authorized to do so, executed the foregoing on behalf of the corporation.

Witness my hand and official seal this the 10 day ofMarch , 20 10 .

Notary Public

My commission expires:

Revised 7-25-14

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6. Example of grantor heading, execution and acknowledgment of instrument by a corporation by attesting officer (Traditional Method):

Heading

THIS DEED , entered into this the 10 day of March, 2010 , by and between SMITH SAUSAGE COMPANY, INC., a North Carolina Corporation hereinafter referred to as GRANTORS, and the DEPARTMENT OF TRANSPORTATION,

Signature

IN WITNESS WHEREOF, we have hereunto set our hand and affixed our seal this the day and year first above written.

SMITH SAUSAGE COMPANY, INC. A North Carolina Corporation

BY: Signature of Henry H. Smith(CORPORATE SEAL) Henry H. Smith President

ATTEST: Signature of George G. Smith George G. Smith Secretary

Notary

North Carolina, CountyI, , a Notary Public for

County, North Carolina, do hereby certify thatGeorge G. Smith personally camebefore me this day and acknowledged that he/she is secretary ofSMITH SAUSAGE COMPANY, INC. , a corporation, and that by

(Official Seal) authority duly given and as the act of the corporation, the foregoinginstrument was signed in its name by its President , sealedWith its corporate seal, and attested by himself/herself as its secretary.

Witness my hand and official seal this the 10 day ofMarch , 20 10 .

Notary Public

My commission expires:

Revised 7-25-14

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7. Example of the grantor heading, execution and acknowledgment of instrument by a limited liability company is shown as follows:

Heading

THIS DEED , entered into this the 10 day of March, 2010 , by and between Green Hills, LLC, a limited liability company hereinafter referred to as GRANTORS, and the DEPARTMENT OF TRANSPORTATION,

Signature

IN WITNESS WHEREOF, we have hereunto set our hand and affixed our seal this the day and year first above written.

GREEN FIELDS, LLC

BY: Signature of John T. SmithJohn T. Smith Manager

Notary

North Carolina, CountyI, , a Notary Public for

County, North Carolina, do hereby certify thatJohn T. Smith, MANAGER ofGREEN FIELDS, LLC , a limited liability company,

(Official Seal) personally came before me this day and acknowledged the due execution of the foregoing instrument on behalf of the company.

Witness my hand and official seal this the 10 day ofMARCH , 20 10 .

Notary Public

My commission expires:

Revised 7-25-14

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8. If the manager executing the instrument is a partnership, use the following:

Heading

THIS DEED , entered into this the 10 day of March, 2010 , by and between Green Hills, LLC, a limited liability company hereinafter referred to as GRANTORS, and the DEPARTMENT OF TRANSPORTATION,

Signature

IN WITNESS WHEREOF, we have hereunto set our hand and affixed our seal this the day and year first above written.

GREEN FIELDS, LLC

BY: ABC COMPANY, A Partnership, MANAGER

BY: Signature of Robert Cook (SEAL) Robert Cook, Partner

BY:Signature of Ronald Pope (SEAL)

Robert Pope, Partner

Notary

North Carolina, CountyI, , a Notary Public for

County, North Carolina, do hereby certify that Robert Cook and Robert Pope General Partners inABC COMPANY , a General Partnership, whichis Manager of GREEN FIELDS, LLC

(Official Seal) a limited liability company, personally came before me this day and acknowledged the due execution of the foregoing instrument on behalf of the company.

Witness my hand and official seal this the 10 day ofMARCH , 20 10 .

Notary Public

My commission expires:

Revised 7-25-14

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9. If the manager of the LLC executing the deed is a corporation, use the following:

Heading

THIS DEED , entered into this the 10 day of March, 2010 , by and between Green Hills, LLC, a limited liability company hereinafter referred to as GRANTORS, and the DEPARTMENT OF TRANSPORTATION,

Signature

IN WITNESS WHEREOF, we have hereunto set our hand and affixed our seal this the day and year first above written.

GREEN FIELDS, LLC

BY: DIVISION CONTROLS, INC, MANAGER

BY: Signature of Henry H. Smith(CORPORATE SEAL) Henry H. Smith President

ATTEST: Signature of George G. Smith George G. Smith Secretary

Notary

North Carolina, CountyI, , a Notary Public for

County, North Carolina, do hereby certify thatGeorge G. Smith personally camebefore me this day and acknowledged that he/she is Secretary ofDIVISION CONTROLS, INC , a corporation, manager ofGREEN FIELDS, LLC a limited liability company and

(Official Seal) that by authority duly given and as the act of the corporation, the foregoing instrument was signed in its name by its President, sealed with its corporate seal, and attested by him/her as its Secretary, on behalf of the said limited liability company.

Witness my hand and official seal this the 10 day ofMARCH , 20 10 .

Notary Public

My commission expires:

Revised 7-25-14

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10. Example of grantor heading, execution and acknowledgment of instrument for a partnership:

Heading

THIS DEED, entered into this the 10 day of March, 2010, by and between John Jones and Henry H. Smith doing business as JONES-SMITH HARDWARE COMPANY, A Partnership; Mary Smith, wife of Henry H. Smith, and Joyce Jones, wife of John Jones hereinafter referred to as GRANTORS, and the DEPARTMENT OF TRANSPORTATION,

Signature

IN WITNESS WHEREOF, we have hereunto set our hand and affixed our seal this the day and year first above written.

JONES-SMITH HARDWARE COMPANY A Partnership

BY: Signature of Henry H. Smith (SEAL) Henry H. Smith, Partner

BY: Signature of John Jones (SEAL) John Jones, Partner

Signature of Mary Smith (SEAL) Mary Smith

Signature of Joyce Jones (SEAL) Joyce Jones

Notary

North Carolina, CountyI, , a Notary Public for

County, North Carolina, do hereby certify thatHenry H. Smith and John Jones doing business asJONES-SMITH HARDWARE COMPANY , a partnership,And Mary Smith and Joyce Jones

(Official Seal) personally came before me this day and acknowledged the due execution of the foregoing instrument.

Witness my hand and official seal this the 10 day ofMARCH , 20 10 .

Notary Public

My commission expires:

Revised 7-25-14

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11. Example of grantor heading, execution and acknowledgment of instrument for an executor of an estate (with will):

HeadingTHIS DEED, entered into this the 10 day of March, 2010, by and between John Jones, Executor for the Estate of James Smith, deceased hereinafter referred to as GRANTORS, and the DEPARTMENT OF TRANSPORTATION…

SignatureIN WITNESS WHEREOF, we have hereunto set our hand and affixed our seals this the day and year first above written.

Signature of John Jones (SEAL) John Jones, Executor of the Estate of James Smith

Notary

North Carolina, CountyI, , a Notary Public for

County, North Carolina, do hereby certify thatJohn Jones ,Executor for the Estate ofJames Smith , deceased, personallyappeared before me this day and acknowledged the due execution of the foregoing instrument.

(Official Seal) Witness my hand and official seal this the 10 day ofMARCH , 20 10 .

Notary Public

My commission expires:

Revised 7-25-14

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12. Example of grantor heading, execution and acknowledgment of instrument for heirs and an administrator of an estate (no will):

HeadingTHIS DEED, entered into this the 10 day of March, 2010, by and between John Doe and wife, Elsie S. Doe, heirs of Jane Smith, deceased; Bob Jones, Administrator of the Estate of Jane Smith, Deceased hereinafter referred to as GRANTORS, and the DEPARTMENT OF TRANSPORTATION…

SignatureIN WITNESS WHEREOF, we have hereunto set our hand and affixed our seals this the day and year first above written.

Signature of John Doe (SEAL) Signature of Elsie S. Doe (SEAL)John Doe, Heir Elsie S. Doe, Heir

Signature of Bob Jones (SEAL) Bob Jones, Administrator of the Estate of Jane Smith, Deceased

Notary

North Carolina, CountyI, , a Notary Public for

County, North Carolina, do hereby certify that

John Doe and wife Elsie S. Doe, heirs of Jane Smith, deceased, and Bob Jones, Administrator of the Estate of Jane Smith, Deceased,

personally appeared before me this day and acknowledged the due execution of the foregoing instrument.

(Official Seal) Witness my hand and official seal this the 10 day ofMarch , 20 10 .

Notary Public

My commission expires:

Revised 7-25-14

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13. Example of grantor heading, execution and acknowledgment of instrument involving a guardianship:

HeadingTHIS DEED, entered into this the 10 day of March, 2010, by and between Bobby Ward hereinafter referred to as GRANTORS, and the DEPARTMENT OF TRANSPORTATION…

SignatureIN WITNESS WHEREOF, we have hereunto set our hand and affixed our seals this the day and year first above written.

BOBBY WARD

BY: Signature of Sammy SmithSammy Smith, Guardian for Bobby Ward

Notary

North Carolina, CountyI, , a Notary Public for

County, North Carolina, do hereby certify that

Sammy Smith, Guardian for Bobby Wardpersonally appeared before me this day and acknowledged the due execution of the foregoing instrument.

(Official Seal) Witness my hand and official seal this the 10 day ofMarch , 20 10 .

Notary Public

My commission expires:

Revised 7-25-14

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14. Example of heading, signature, and Notary If the title to the property vests in the trustees then the instrument should be signed as follows:

HeadingTHIS DEED, entered into this the 10 day of March, 2010, by and between John Smith, Ray Thomas, and Amanda Williams, Trustees for First Faith Church hereinafter referred to as GRANTORS, and the DEPARTMENT OF TRANSPORTATION…

SignatureIN WITNESS WHEREOF, we have hereunto set our hand and affixed our seals this the day and year first above written.

Signature of John Smith (SEAL) Signature of Ray Thomas (SEAL)John Smith, Trustee Ray Thomas, Trustee for for First Faith Church for First Faith Church

Signature of Amanda Williams (SEAL) Amanda Williams, Trusteefor First Faith Church

Notary

North Carolina,

County

I, , a Notary Public forCounty, North Carolina, do hereby certify that

John Smith, Ray Thomas, and Amanda Williams, Trustees for First Faith Church

(Official Seal) personally appeared before me this day and acknowledged the due execution of the foregoing instrument.

Witness my hand and official seal this the 10 day ofMarch , 20 10 .

Notary Public

My commission expires:

Revised 7-25-14

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15. If the title to the property vests in the minister, bishop, etc., the heading of the instrument should be (Name of Minister), Minister of (Name of Church) and should be signed as follows:

HeadingTHIS DEED, entered into this the 10 day of March, 2010, by and between Amanda Williams, Bishop of the First Faith Church hereinafter referred to as GRANTORS, and the DEPARTMENT OF TRANSPORTATION…

SignatureIN WITNESS WHEREOF, we have hereunto set our hand and affixed our seals this the day and year first above written.

Signature of Amanda Williams (SEAL) Amanda Williams, Bishop for First Faith Church

Notary

North Carolina,

County

I, , a Notary Public forCounty, North Carolina, do hereby certify that

Amanda Williams, Bishop of the First Faith Church

(Official Seal) personally appeared before me this day and acknowledged the due execution of the foregoing instrument.

Witness my hand and official seal this the 10 day ofMarch , 20 10 .

Notary Public

My commission expires:

NOTE: In the Catholic Church, property is owned in the name of the diocesan bishop. If a church or religious organization, a charitable or fraternal organization has incorporated and title to the property vests with the corporation, a corporate execution and acknowledgment should be used.

Revised 7-25-14

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16. Example of acceptable heading, execution and acknowledgment of instrument involving a county:

HeadingTHIS DEED, entered into this the 10 day of March, 2010, by and between WAKE COUNTY hereinafter referred to as GRANTOR, and the DEPARTMENT OF TRANSPORTATION, an agency of the State of North Carolina, hereinafter referred to as the DEPARTMENT; . . . . .

Signature IN WITNESS WHEREOF, GRANROR, pursuant to a resolution dated _______________,

has caused this instrument to be signed in its corporate name by its CHAIRMAN OF THE WAKE COUNTY BOARD OF COMMISSIONERS, its corporate seal hereto affixed, and attested by it CLERK OF THE WAKE COUNTY BOARD OF COMMISSIONERS, by order of the WAKE COUNTY COMMISSIONERS, this the day and year first above written

Signature WAKE COUNTY

(CORPORATE SEAL) BY: (Signature of Chairman)(Name of Chairman), Chairman of Wake County Board of Commissioners

ATTEST: (Signature of Clerk)(Name of Clerk), Clerk of Wake County Board of Commissioners

North Carolina, CountyI, , a Notary Public for

County, North Carolina, certify thatpersonally came before me this day

and acknowledged that he/she is the CLERK of the Wake County Board Of Commissioners, and that by authority duly given, the foregoing instrument was signed in its name by

, its CHAIRMAN of the Wake COUNTY

(Official Seal) BOARD OF COMMISSIONERS, sealed with its corporate seal,and attested by as its CLERK. Witness my hand and official seal this the 10 day ofMarch , 20 10 .

Notary Public

My commission expires:

Revised 7-25-14

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17. Example of acceptable heading, execution and acknowledgment of instrument involving a city:

HeadingTHIS DEED, entered into this the 10 day of March, 2010, by and between City of Raleigh, hereinafter referred to as GRANTOR, and the DEPARTMENT OF TRANSPORTATION, an agency of the State of North Carolina, hereinafter referred to as the DEPARTMENT; . . . . .

Signature IN WITNESS WHEREOF, GRANTOR, pursuant to a resolution dated _______________,

has caused this instrument to be signed in its corporate name by its MAYOR, its corporate seal hereto affixed, and attested by its CITY CLERK, by order of the Raleigh CITY COUNCIL, this the day and year first above written

City of Raleigh

(CORPORATE SEAL) BY: (Signature of Mayor)(Name of Mayor), Mayor of City of Raleigh

ATTEST: (Signature of Clerk)(Name of Clerk), Clerk of the City of Raleigh

North Carolina, CountyI, , a Notary Public for

County, North Carolina, certify thatpersonally came before

me this day and acknowledged that he/she is the CLERK of theCITY OF Raleigh , and that by authority duly given, the

(Official Seal) foregoing instrument was signed in its name by its MAYOR of the CITY OF Raleigh, , sealed with its corporate seal, and attested by

as its CITY CLERK.Witness my hand and official seal this the 10 day of

March , 20 10 .

Notary Public

My commission expires:

Revised 7-25-14

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18. Example of grantor heading, execution and acknowledgment of instrument involving a political subdivision such as Board of Education (NOTE: May be a County Board or a City Board):

HeadingTHIS DEED, entered into this the 10 day of March, 2010, by and between WAKE COUNTY BOARD OF EDUCATION hereinafter referred to as GRANTOR, and the DEPARTMENT OF TRANSPORTATION, an agency of the State of North Carolina, hereinafter referred to as the DEPARTMENT; . . . . .

Signature IN WITNESS WHEREOF, GRANTOR, pursuant to a resolution dated _______________,

has caused this instrument to be signed in its corporate name by its CHAIRMAN OF THE WAKE COUNTY BOARD OF EDUCATION, its corporate seal hereto affixed, and attested by it CLERK OF THE WAKE COUNTY BOARD OF EDUCATION, by order of the WAKE COUNTY EDUCATION, this the day and year first above written

WAKE COUNTY BOARD OF EDUCATION,

(CORPORATE SEAL) BY: (Signature of Chairman)(Name of Chairman), Chairman of Wake County BOARD OF EDUCATION

ATTEST: (Signature of Clerk)(Name of Clerk), Clerk of Wake County Board of Education

North Carolina, CountyI, , a Notary Public for

County, North Carolina, certify thatpersonally came before me this day

and acknowledged that he/she is the CLERK of the Wake County Board Of Commissioners, and that by authority duly given, the foregoing instrument was signed in its name by

, its CHAIRMAN of the Wake COUNTY

(Official Seal) BOARD OF EDUCATION, sealed with its corporate seal,and attested by as its CLERK. Witness my hand and official seal this the 10 day ofMarch , 20 10 .

Notary PublicMy commission expires:

Revised 7-25-14

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19. Example of the grantor heading, execution and acknowledgment of the instrument by trustees under a revocable or irrevocable trust is as follows:

Heading

THIS DEED, entered into this the 10 day of March, 2010, by and between Nancy McGregor, Trustee for the Peter McGregor (Revocable)or (Irrevocable) Trust dated September 25, 2009 hereinafter referred to as GRANTORS, and the DEPARTMENT OF TRANSPORTATION, an agency of the State of North Carolina, hereinafter referred to as the DEPARTMENT; . . . . .

Signature

IN WITNESS WHEREOF, we have hereunto set our hand and affixed our seals this the day and year first above written.

Signature of Nancy McGregor (SEAL)Nancy McGregor, Trustee for the Peter McGregor (Revocable) or (Irrevocable) Trust dated September 25, 2009

Notary

North Carolina, CountyI, , a Notary

Public forCounty, North Carolina, do hereby certify that

Nancy McGregor, Trustee for the Peter McGregor (Revocable)or (Irrevocable) Trust dated September 25, 2009

personally appeared before me this day and acknowledged the due execution of the foregoing instrument.

(Official Seal) Witness my hand and official seal this the 10 day of

March , 20 10 .

Notary Public

My commission expires:

Revised 7-25-14

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20. The heading, execution and acknowledgment of an instrument involving a power of attorney are as follows:

Heading

THIS DEED, entered into this the 10 day of March, 2010 , by and between Lucy R. Gantz, through her Attorney in Fact, Joseph Cook, hereinafter referred to as GRANTORS, and the DEPARTMENT OF TRANSPORTATION, an agency of the State of North Carolina, hereinafter referred to as the DEPARTMENT; . . . . .

Signature

IN WITNESS WHEREOF, we have hereunto set our hand and affixed our seals this the day and year first above written.

Joseph Cook Signs the name of Lucy R. Gantz

(SEAL)

Lucy R. Gantz

BY: Joseph Cook Signature (SEAL)Joseph Cook, Attorney in Fact

ATTORNEY-IN-FACT

NORTH CAROLINA, COUNTYI, a Notary Public for County, North

Carolina, do hereby certify that Joseph Cook , attorney-in-fact forLucy R. Gantz personally appeared before me this day, and being by meduly sworn, says that he/she executed the foregoing and annexed instrument for and in behalf ofLucy R. Gantz , and that his/her authority to execute and acknowledge said instrumentis contained in an instrument duly executed, acknowledged, and recorded in the office of theRegister of Deeds, Wake County, North Carolina, on the 9 day of June , 20 07

in Book 1100 at Page 230 , and that this instrument wasexecuted under and by virtue of the authority given by said instrumentgranting him/her power of attorney; that the said Joseph Cook

(Official Seal) acknowledged the due execution of the foregoing and annexed instrument for the purposes therein expressed for and in behalf of the said Lucy R. Gantz

Witness my hand and official seal, this the dayof , 20 .

Notary Public

My commission expires:

Revised 7-25-14

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21. Execution of Deed by holder of Deed of trust

Heading

THIS DEED, entered into this the _____day of ____________, ____ , by and between North America Bank, A Corporation, and Richard Dawkins, Trustee for North America Bank hereinafter referred to as GRANTORS, and the DEPARTMENT OF TRANSPORTATION, an agency of the State of North Carolina, hereinafter referred to

as the DEPARTMENT; . . . . .

Signature

IN WITNESS WHEREOF, we have hereunto set our hand and affixed our seals this the day and year first above written.

North America Bank(Corporate Name) (SEAL)

Richard Dawkins, Trustee in Deed of Trust recorded in Book 1200 at page 345 , Wilson County Registry.

BY:(President)

ATTEST:(Secretary)

(CORPORATE SEAL) A corporate acknowledgment should be used for North America Bank and an individual acknowledgment should be used for the Trustee.

Revised 7-25-14