The form for the employer affidavit regarding active experience requires:

1. (1) the name of the person employing the applicant;

2. (2) information about the affiant, consisting of the following:

   1. (a) the full printed name of the affiant;
   2. (b) the affiant's title and position with the employer;
   3. (c) the address and telephone number of the employer; and
   4. (d) the email address of the affiant;
3. (3) an explanation of the reasons the instructor applicant has performed notarial acts while employed by the employer;
4. (4) a statement specifying which of the preceding twelve months the instructor applicant performed notarial acts for the employer;

5. (5) a declaration that:

   1. (a) the affiant has the authority to sign; and
   2. (b) the affiant has knowledge of the matters described in the affidavit;
6. (6) the signature of the affiant and date on which the affiant signed; and
7. (7) a jurat certificate.

History Note: Authority G.S. 10B-4; 10B-14; 10B-134.21;
Eff. March 1, 2025.