Identification Form For You And Your Attorney-In-Fact (Page 8 of 8) in pdf

Identification Form For You And Your Attorney-In-Fact Page 8

IN WITNESS WHEREOF, I have set my hand this ___________ day of _____________ , 20______

Grantor's Signature

**********

TO BE VALID, YOU (THE PERSON GRANTING THESE POWERS) MUST SIGN THIS FORM AS

GRANTOR IN THE PRESENCE OF EITHER (1) A NOTARY PUBLIC OR (2) A PERSON

AUTHORIZED BY 10 USC § 1044A TO PERFORM A NOTARIAL ACT FOR MEMBERS OF THE

ARMED FORCES. FILL OUT ONLY ONE SECTION BELOW.

(1) CIVILIAN ACKNOWLEDGMENT

State Of

(County/City/Parish

I,______________________________ A Notary Public in and for the State aforesaid, do hereby

certify that on the _______________ day of _____________ , 20 _____ , before me personally

appeared _________________________________________________ (GRANTOR), who signed

and executed the foregoing USAA POWER OF ATTORNEY. IN WITNESS WHEREOF, I have

hereunto set my hand and official seal this day and year above.

Notary Public

My Commission Expires

(2) MILITARY ACKNOWLEDGMENT

IF ACKNOWLEDGED BEFORE A PERSON AUTHORIZED TO PERFORM NOTARIAL ACTS FOR

MEMBERS OF THE ARMED FORCES by 10 USC § 1044a:

With the United States Armed Forces at: _______________________________________

I,__________________________________ the undersigned do hereby certify that on this

_______________ day of ________________ , 20 _____ , before me, personally appeared

_____________________________________________________(GRANTOR), who signed

and executed the foregoing USAA POWER OF ATTORNEY. I do further certify that I am at

the date of this certificate authorized under 10 USC § 1044a to perform notarial acts for

members of the armed forces, and that by statute no seal is required on this certificate.

(ORGANIZATION AND STATION)

Signature of Person Authorized To Perform Notarial Acts

(Name, Grade, Armed Force)

THE ATTORNEY-IN-FACT, BY ACCEPTING OR ACTING UNDER THE APPOINTMENT, ASSUMES

THE FIDUCIARY AND OTHER LEGAL RESPONSIBILITIES OF AN AGENT.

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Identification Form For You And Your Attorney-In-Fact Page 8