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LIMITED POWER OF ATTORNEY

*Sample*

The undersigned, of _______________________________, have made, constituted and appointed, and do make, constitute and appoint ________________________________

of_______________________________ my true and lawful attorney in fact, for me and in my name and stead, and to my use, to __________________________ hereby giving to my attorney in fact, full authority and power to do everything whatsoever requisite or necessary to be done, as fully as I could or might do if personally present, with full power of substitution and revocation, hereby confirming an ratifying all that my said attorney in fact shall lawfully do or cause to be done, hereunder.

 

  _______________________________ ______________________________
                   (Witness)                                          (Signature)

  ______________    _______________
          (Date)                     (Date)