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_____________, the “principal,” of ___________, _______, herewith appoints ______________ of ______________, 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 _______________________, of ____________________. 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 __________________________. To execute a deed or other instrument of conveyance conveying my interest in the following real 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: __________________________ of _______________ and any branches thereof. To represent me before the Internal Revenue Service in regard to the following taxable years and returns: Forms: ____________ Years: _____________ This power of attorney shall be in effect from _______________ to _________________. _____________________________________________________ _____________________, As Principal STATE OF ______________ COUNTY OF _____________ _____________ personally appeared before me and acknowledged the execution of this power of attorney for the purposes set forth therein. Dated: _______________________________ __________________________________________ Notary Public My Commission Expires: |
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