Acknowledgment For Short Form Power Of Attorney
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EXAMPLE OF SHORT-FORM POWER OF ATTORNEY:
State of County of On this ______ day of _____________, _______, personally appeared before me, the said named _____________________________, to me known and known to me to be the person described in and who executed the foregoing instrument and he/she acknowledged that he/she executed the same and being duly sworn by me, made oath that the statements in the foregoing instrument are true.
Witness my hand and official seal, this the _____ day of _____________, 20___.
(Official Seal) Official Signature of Notary , Notary Public Notary’s printed or typed name My commission expires:
State of County of On this ______ day of _____________, _______, personally appeared before me, the said named _____________________________, to me known and known to me to be the person described in and who executed the foregoing instrument and he/she acknowledged that he/she executed the same and being duly sworn by me, made oath that the statements in the foregoing instrument are true.
Witness my hand and official seal, this the _____ day of _____________, 20___.
(Official Seal) Official Signature of Notary , Notary Public Notary’s printed or typed name My commission expires:
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