STATE OF NORTH CAROLINA File No. In The General Court Of Justice County District Court Division IN THE MATTER OF: Name Of Juvenile CERTIFICATE OF Date Of Birth Date Of Emancipation EMANCIPATION G.S. 7B-3506 The petitioner named above has been granted a final decree of emancipation by the Court on the date stated above as appears on record in my office. Under the terms of the decree, the petitioner hereafter has the same right to make contracts and conveyances, to sue and be sued, and to transact business as if the petitioner were an adult. The parent or guardian of the petitioner is relieved of all legal duties and obligations owed to the petitioner and is divested of all rights with respect to the petitioner. Date Signature Assistant CSC Clerk Of Superior Court SEAL NOTE TO CLERK: A copy of this Certificate should be filed in the civil department as a registration. AOC-J-902M, Rev. 3/02 2002 Administrative Office of the Courts