CPID Number:
IV. VERIFICATION
I consent to a confidential inquiry of third parties by the board for the purpose of determining whether I continue to
fulfill the requirements for certification.
I understand the period of recertification is one (1) year. If I desire to continue my certification thereafter, I must
comply with the standards regarding continued certification as a paralegal.
I understand that if this application is not complete or is incorrect, it will be returned to me, and a late fee will apply to
its resubmission if it is received more than 45 days after the due date.
I have retained a copy of this application and all attachments for my records.
I am enclosing my check for $50.00 as the recertification fee made payable to The North Carolina State Bar Board of
Paralegal Certification
. I understand this fee is nonrefundable regardless of the disposition of my application.
I am signing this application in the presence of a notary. (Dates of signature and notarization must be the same.)
I,
, solemnly swear or affirm under penalty of perjury that the information in this
application is true, complete and correct.
This the __________________ day of _______________________________, 20 ______________.
Full Name
Signature: _______________________________________________________________________
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NOTARY OATH
Please note that the applicant must personally appear before the notary and must sign this application in the notary’s
presence.
State of
County of
Sworn to (or affirmed) and subscribed before me
(Official Seal or Stamp)
this _____day of ___________________, 20_________
Signature of Notary Public: _________________________________________
Printed Name of Notary Public: ______________________________________
My Commission Expires ___________________________, 20_____________
RETURN TO: Director, The North Carolina State Bar Board of
Paralegal Certification
, PO Box 25908, Raleigh, NC 27611
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N.C.G.S. § 10B-35. Official signature.
When notarizing a paper record, a notary shall sign by hand in ink on the notarial certificate. The notary shall comply
with the requirements of G.S. 10B-20(b)(1) and (b)(2). The notary shall affix the official signature only after the notarial act
is performed. The notary shall not sign a paper record using the facsimile stamp or an electronic or other printing method.
(2005-391, s. 4; 2006-59, s. 15.)