State of North Carolina
County of ________
I, ________, chair of the ______ County board of elections, do hereby certify that the foregoing is a list of all executed absentee ballots to be voted in the election to be conducted on the ______ day of ________, ____, which have been approved by the county board of elections and which have been returned no later than 5:00 P.M. on the day before the election. I certify that the chair, member, officer, or employee of the board of elections has not delivered ballots for absentee voting to any person other than the voter, by mail or by commercial courier service or in person, except as provided by law, and have not mailed or delivered ballots when the request for the ballot was received after the deadline provided by law.
This the ________ day of __________, ____
______________
(Signature of chair of
county board of elections)
Sworn to and subscribed before me this ______ day of ______, ____.
Witness my hand and official seal.
______________
(Signature of officer
administering oath)
______________
(Title of officer)
The chief judge shall post one copy of the list immediately in a conspicuous location in the voting place and retain one copy until all challenges of absentee ballots have been heard by the county board of elections. Challenges shall be made to absentee ballots as provided in G.S. 163-96.
N.C. Gen. Stat. § 163-232