N.C. Gen. Stat. § 32C-3-302
Agent's certification
Redline — June 1, 2021 → current.View current text →
Current — April 1, 2022
As of June 1, 2021
The following optional form may be used by an agent to certify facts concerning a power of attorney:
The following optional form may be used by an agent to certify facts concerning a power of attorney:
"AGENT'S CERTIFICATION AS TO THE VALIDITY OF
POWER OF ATTORNEY AND AGENT'S AUTHORITY
(G.S. 32C-3-302)
I, __________________ (Name of Agent), do hereby state and affirm the following under penalty of perjury: (1) __________________ (Name of Principal) granted me authority as an agent or successor agent in a power of attorney dated __________________. (2) The powers and authority granted to me in the power of attorney are currently exercisable by me. (3) I have no actual knowledge of any of the following: (a) The principal is deceased. (b) The power of attorney or my authority as agent under the power of attorney has been revoked or terminated, partially or otherwise. (c) The principal lacked the understanding and capacity to make and communicate decisions regarding his estate and person at the time the power of attorney was executed. (d) The power of attorney was not properly executed and is not a legal, valid power of attorney. (e) (Insert other relevant statements) _______________________________________________________________________ (4) I agree not to exercise any powers granted under the power of attorney if I become aware that the principal is deceased, that the power of attorney has been revoked or terminated, or that my authority as agent under the power of attorney has been revoked or terminated.
“AGENT’S CERTIFICATION AS TO THE VALIDITY OF POWER OF ATTORNEY AND AGENT’S AUTHORITY () G.S. 32C-3-302 I, (Name of Agent), do hereby state and affirm the following under penalty of perjury: (1) (Name of Principal) granted me authority as an agent or successor agent in a power of attorney dated. (2) The powers and authority granted to me in the power of attorney are currently exercisable by me. (3) I have no actual knowledge of any of the following: (a) The principal is deceased. (b) The power of attorney or my authority as agent under the power of attorney has been revoked or terminated, partially or otherwise. (c) The principal lacked the understanding and capacity to make and communicate decisions regarding his estate and person at the time the power of attorney was executed. (d) The power of attorney was not properly executed and is not a legal, valid power of attorney. (e) (Insert other relevant statements) (4) I agree not to exercise any powers granted under the power of attorney if I become aware that the principal is deceased, that the power of attorney has been revoked or terminated, or that my authority as agent under the power of attorney has been revoked or terminated. Agent’s Signature Date Agent’s Signature Agent’s Signature Agent’s Signature COUNTY OF, STATE OF Sworn to or affirmed and subscribed before me this day by: Date: Signature of Notary Public (Official Seal), Notary Public Printed or typed name My commission expires: ”
SIGNATURE AND ACKNOWLEDGMENT
________________________ __________________ Agent's Signature Date ________________________ Agent's Name Printed ________________________ Agent's Address ________________________ Agent's Telephone Number COUNTY OF __________________, STATE OF ________________________________. Sworn to or affirmed and subscribed before me this day by: Date: __________________ ___________________________________ Signature of Notary Public (Official Seal) ________________________________, Notary Public Printed or typed name My commission expires: __________________"
History
(2017-153, s. 1.)
Official source: North Carolina General Assembly. Reproduced from public-domain North Carolina statutes; confirm against the official source for the current text. Not legal advice.