THE STATE OF SOUTH CAROLINA,)
)
____________________________ County)
PERSONALLY appeared before me ________________________________ and made oath that _______________________________________ saw the within-named __________________________________________ sign, seal, and as ______ act and deed, deliver the within-written Deed; and that _______________________ with ________________________________________________________ witnessed the execution thereof.
SWORN to before me, this ________________
day of ____________________, A.D. 20_____,
(SEAL) _______________________________
______________________________________
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