Indiana Limited Financial Power Of Attorney Form Page 4

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XIII. ATTORNEY-IN-FACT’S SIGNATURE - I, ___________________________
Name of Attorney-in-Fact
have read the attached power of attorney and am the person identified as the
attorney-in-fact for the principal. I hereby acknowledge and accept my
appointment as Attorney-in-Fact and that when I act as agent I shall exercise
the powers for the benefit of the principal; I shall keep the assets of the
principal separate from my assets; I shall exercise reasonable caution and
prudence; and I shall keep a full and accurate record of all actions, receipts
and disbursements on behalf of the principal.
________________________________ __________________________________
Signature of Attorney-in-Fact
Date
XIV. SUCCESSOR ATTORNEY-IN-FACT’S SIGNATURE (Optional) -
I, ______________________________ have read the attached power of
Name of successor Attorney-in-Fact
attorney and am the person identified as the successor attorney-in-fact for the
principal. I hereby acknowledge and accept my appointment as Successor
Attorney-in-Fact and that, in the absence of a specific provision to the contrary
in the power of attorney, when I act as agent I shall exercise the powers for
the benefit of the principal; I shall keep the assets of the principal separate
from my assets; I shall exercise reasonable caution and prudence; and I shall
keep a full and accurate record of all actions, receipts, and disbursements on
behalf of the principal.
_________________________________ _________________________________
Signature of Successor Attorney-in-Fact
Date

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