Power attorney general or special


<Name of person granting the power of attorney> (“Principal”), in the County of <County>, State of <State>, does appoint <attorney> <his/her> true and lawful attorney-in-fact.

In Principal’s name, place and stead, and for Principal’s use and benefit, said attorney-in-fact is hereby authorized to act in any way Principal might or could if personally present <optional specifics setup>.

<Optional Specific Areas of Authority.>

This Power of Attorney <optional durable provision> shall <termination condition>.

All that said attorney-in-fact shall lawfully do or cause to be done under the authority of this power of attorney is expressly approved.

Dated: 06 April, 2005

<Name of person granting the power of attorney>

STATE OF <State>, COUNTY OF <County>, ss.:

I, __________________________________, do hereby certify that on this

______ day of ________, __________, personally appeared before me

known to be the person(s) who executed the foregoing instrument.


Notary Public in and for the State of _________________.

My commission expires _______________.

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