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.
N.D.C.C. § 47-19-29