North Dakota Code § 47-19-29

Certificate of acknowledgment by an attorney in fact
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The certificate of acknowledgment by an attorney in fact must be substantially in the 
following form:
STATE OF NORTH DAKOTA)
County of ___________ )
On this _____ day of _____________, in the year _________ before me (here insert 
the name and quality of the officer), personally appeared ___________, known to me (or 
proved to me on the oath of _________________) to be the person who is described in and 
whose name is subscribed to the within instrument as the attorney in fact of 
_____________ and acknowledged to me that that person subscribed the name of 
_______________ thereto as principal and that person's own name as attorney in fact.

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