Power Of Attorney

Power of attorney.

State the name of the principal (person giving power), the "principal," of Enter the place of residence of the principal, herewith appoints State the name of the attorney of Enter the place of residence of the attorney, as their attorney in fact, to act in the place and stead and with the same authority as Principal would have to do the following acts:

To conduct any and all business regarding my deposit accounts, loans, safe deposit box, or other banking business in regard to the Name the bank (do not use word bank if it is last) Bank, of Enter the city and state where the bank is located. This power shall specifically include, but is not limited to the right to deposit, withdraw, sign checks or drafts, make stop payment orders, and to conduct any banking transactions necessary or possible in regard to my banking relationship with the Name the bank (do not use word bank if it is last) Bank.

To execute a deed or other instrument of conveyance conveying my interest in the following real property:

State the description of the property

To examine and to order copies of any and all of my educational records, including both financial and student loan and health related records, at the following college, school or other educational institution:

Enter the name of the school or college of Enter the city and state where the school is located, and any branches thereof

To represent me before the Internal Revenue Service in regard to the following taxable years and returns:

Forms: State the forms involved Years: State the taxable years involved

To act for me in the regard to the following:

State the authority NARROWLY and PRECISELY

This power of attorney shall be in effect from Enter the beginning date of the power of attorney to Enter the ending date of the power of attorney.

_____________________________________________________

State the name of the principal (person giving power), As Principal

STATE OF Enter the state where signed

COUNTY OF Enter the county where signed

State the name of the principal (person giving power) personally appeared before me and acknowledged the execution of this power of attorney for the purposes set forth therein.

Date

Notary Public

Public Document

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