General Durable Power Of Attorney Page 2

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hereby giving and granting to my said attorney full power and authority to do and perform all
and every act and thing whatsoever necessary to be done in the premises, as fully to all intents
and purposes as I might or could if personally present, with full power of substitution and
revocation, and I hereby ratify and confirm all that my said attorney does pursuant to this power.
The rights, powers and authority of my attorney-in-fact to exercise any and all of the rights and
powers herein granted shall commence and be in full force and effect on the _______day of
__________, year of _______, and such rights, powers and authority shall remain in full force
and effect thereafter until I specifically revoke in writing, such rights, powers and authority, and
until I give written notice of such revocation to my said attorney; further this power shall not be
affected by my disability, incapacity or adjudged incompetency.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this ______ day of _______,
year of _________.
____________________________________
Principal
____________________________________
Printed name of Principal
WITNESSES:
______________________________________
______________________________________
Before me personally appeared _______________________________, to me known to be the
person described herein and who executed the foregoing instrument, and s/he acknowledged
before me that s/he executed the same on this ____________ day of ______________, year of
_______________ at Toledo, Ohio.
__________________________________
Notary Public - State of Ohio
My commission expires ______________

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