General Form of Power of Attorney

KNOW ALL MEN BY THESE PRESENTS, that I____________________________ residing at _________________________________________________________do hereby nominate, constitute and appoint Mr./Mrs./Miss ________________________ residing at ________________________________________________________ my true and lawful attorney in fact for me and in my name, place and stead (set forth the powers of attorney in as complete details as possible in order to make certain that the attorney has the powers which you desire).


And I hereby give and grant unto my said attorney in fact full power and authority to do and perform every act necessary, requisite or proper to be done in and about the premise as fully as I might or could do were, I personally present, with full power of substitution and revocation, hereby ratifying and confirming all that my said attorney shall lawfully do or cause to be done by virtue hereof.


IN WITNESS WHEREOF, I have hereunto set my hand on this ___day of________

In presence of

Signed _______________


Witness ______________


Witness______________

[ Mar 26, 2006 ]

 
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