North Carolina General Statutes Chapter 40A. Eminent Domain § 40A-27. Form of commissioners' report

When the commissioners shall have assessed the compensation, they shall forthwith make and subscribe a written report of their proceedings, in substance as follows:

To the Clerk of the Superior Court of ․․․․․․․․․․

We, ․․․․․․․․․․, commissioners appointed by the court to assess the damages that have been and will be sustained by ․․․․․․․․․․, the owner of certain property lying in the county of ․․․․․․․․․․, which ․․․․․․․․․․ the condemnor proposes to condemn for its use, do hereby certify that we met on ․․․․․․․․․․ (or the day to which we were regularly adjourned), and, having first been duly sworn, we visited the premises of the owner, and after taking into full consideration the quality and quantity of the property aforesaid, and all other inconveniences likely to result to the owner, we have estimated and do assess the compensation aforesaid at the sum of $ ․․․․․․․․․․

Given under our hands, the ․․․․․․․․․․ day of ․․․․․․․․․․, A.D.