File No.
STATE OF NORTH CAROLINA
                                                                                                      In The General Court Of Justice
                                                   County                                                     Superior Court Division
                                                                                                              Before The Clerk
       IN THE MATTER OF THE ESTATE OF:
Name Of Decedent/Minor/Incompetent/Trust
                                                                                               OATH/AFFIRMATION

                                                                                         N.C. Constitution, Art. VI., Sec. 7; G.S.11-7, 11-11; 28A-7-1
I, the undersigned, do solemnly            swear             affirm   that I will support and maintain the Constitution and laws 
of the United States, and the Constitution and laws of North Carolina not inconsistent therewith; that I will be faithful 
and bear true allegiance to the State of North Carolina, and to the constitutional powers and authorities which are or 
may be established for the government thereof; and that I will endeavor to support, maintain and defend the 
Constitution of said State, not inconsistent with the Constitution of the United States, to the best of my knowledge and 
ability; and that I will faithfully discharge the duties of my office as indicated below;
     so help me, God.            and this is my solemn affirmation. 
(check office below) 
     OATH OF ADMINISTRATOR 
     I        swear          affirm   that I believe that the above named decedent died without leaving any Last Will and 
     Testament; that I will well and truly administer all and singular the goods and chattels, rights and credits of the 
     deceased and a true and perfect inventory thereof return according to law; and that all other duties appertaining to 
     the charge reposed in me, I will well and truly perform, according to law and with my best skill and ability; 
          so help me, God.             and this is my solemn affirmation.
     OATH OF EXECUTOR
     I         swear         affirm   that I believe this paper writing to be and contain the Last Will and Testament of the above 
     named  decedent; and that I will well and truly execute the same by first paying the decedent's debts and then the 
     decedent's legacies; as far as the said estate shall extend or the law shall charge me; and that I will well and 
     faithfully execute the office of an executor, agreeably to the trust and confidence reposed in me, and according to 
     law;       so help me, God.              and this is my solemn affirmation. 
     OATH OF ADMINISTRATOR CTA
     I        swear          affirm   that I believe this paper writing to be and contain the Last Will and Testament of the above 
     named decedent; and that I will well and truly execute the same by first paying the decedent's debts and then the 
     decedent's legacies, as far as the said estate shall extend or the law shall charge me; and that I will well and 
     faithfully execute the office of an administrator cta to the best of my skill and ability and according to the law; 
          so help me, God.             and this is my solemn affirmation.
     OATH OF FIDUCIARY
     I        swear          affirm   that I will faithfully and honestly discharge the duties reposed in me according to the best of
     my skill and ability, and according to law;                             so help me, God.           and this is my solemn affirmation.
Name Of Fiduciary 1                                                         Name Of Fiduciary 2

Signature Of Fiduciary                                                      Signature Of Fiduciary

SWORN  AFFIRMED  AND SUBSCRIBED TO BEFORE ME                                SWORN        AFFIRMED  AND SUBSCRIBED TO BEFORE ME
Date                                                                        Date

Signature Of Person Authorized To Administer Oaths                          Signature Of Person Authorized To Administer Oaths

Deputy CSC              Assistant CSC               Clerk Of Superior Court     Deputy CSC              Assistant CSC               Clerk Of Superior Court 
       Date My Commission Expires                                           Date My Commission Expires
Notary                                                                                                                                    Notary
       County Where Notarized                                               County Where Notarized
SEAL                                                                                                                                      SEAL

AOC-E-400, Rev. 3/07                                                        Original-File
© 2007 Administrative Office of the Courts