SPECIAL POWER OF ATTORNEY Blank
SPECIAL POWER OF ATTORNEY Blank
HEREBY GRANTING unto our representative full power and authority to execute and
perform every act necessary to render effective the power to reside and act on my behalf, as
though we ourselves, have so performed it, and HEREBY APPROVING ALL that he may do by
virtue hereof with full right of substitution of his person and revocation of this instrument.
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(Name of Principal) (Name of Representative /Attorney-In-Fact)
Known to me and to me known to be the same persons who executed the foregoing instrument
and acknowledged to me that the same is their free and voluntary act and deed.
WITNESS MY HAND AND SEAL, on the date and place first above written.
Notary Public