North Dakota Code § 47-19-27

General certificate of acknowledgment
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A certificate of acknowledgment, unless otherwise provided in this chapter, must be in 
substantially the following form:
STATE OF NORTH DAKOTA)
County of ___________ )
On this _____ day of __________, in the year _________ before me personally 
appeared _____________, known to me (or proved to me on oath of ________) to be the 
person who is described in and who executed the within instrument, and acknowledged to 
me that that person (or they) executed the same.

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