I will bear faithful and true Allegiance to the State of North Carolina, & will truly endeavour to Support Maintain, and defend the independent Goverment thereof, against George the Third King of Great Britain, and his Successors, and the attempts of any other person, Prince, Power, State or Potentate, who by Secret Arts, Treasons, Conspiracies, or by open Force, shall attempt to subvert the same, and will in every Respect conduct myself as a peaceful orderly Subject; and that I will disclose and make known to the Govenor, some member of the Council of State, or some Justice of the Superior Courts, or of the Peace, all Treasons, Conspiracies, & Attempts, committed or intended against the state, which shall come to my knowledge.

Affirmation.

I do solemnly and sincerely declare and Affirm, that I will bear true Fidelity to the I independtant State of North Carolina, and to the powers and Authorities which are or may be established for the good Goverment thereof, and I do renounce any Fidelity to the present King of Great Britain, his Heirs and Successors; and that I will disclose and make known to the Govenor; some Member of the Council of State, Judge of the Superior Courts or Justice of the Peace, all Treasons, Conspiracies, or attempts committed or intended against the same, which shall come to my Knowledge [so help me God]