N.D. Cent. Code § 47-19-29: Certificate of acknowledgment by an attorney in fact

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.