Form Navjag Form 5801/11 - General Power Of Attorney (Page 2 of 2) in pdf

Civil Relief Act or other legislation designed for the protection of personnel in the armed forces or their family members; (b) to hire, engage, employ and

appoint agents, employees and counsel upon such terms and conditions and at such compensation as my said Attorney-in-Fact shall deem proper in the

exercise of the powers herein granted; to dismiss and remove at pleasure any such agents, employees and counsel as well as any agents, employees

and counsel heretofore or hereafter employed by me or in my behalf.

11. MISCELLANEOUS: (a) to sign, seal, acknowledge and deliver any instrument necessary to accomplish any of the powers herein granted; (b) to

modify, reform, renegotiate or rescind any contract or obligation heretofore or hereafter made by me or in my behalf.

GENERAL PROVISIONS: (a) All business transacted hereunder for me or for my account shall be transacted in my name, and all endorsements and

instruments executed by my Attorney-in-Fact for the purposes of carrying out any of the foregoing powers shall contain my name, followed by that of my

said Attorney-in-Fact and the designation "Attorney-in-Fact." (b) I hereby ratify and confirm all lawful acts done and caused to be done by my said

Attorney-in-Fact pursuant to this Power of Attorney. (c) If the authority contained herein shall be revoked or terminated by operation of law without

notice, I hereby agree for myself, executors, administrators, heirs and assigns, in consideration of my attorney’s willingness to act pursuant to this Power

of Attorney, to save and hold my attorney harmless from any loss suffered or any liability incurred by my attorney in so acting after such revocation or

termination without notice.

TERMINATION: This power shall remain in full force and effect until _____________________, unless sooner revoked or terminated by me.

Notwithstanding my insertion of a specific expiration date herein, if on the above specified expiration date I shall be, or have been, carried in a military

status of “missing”, “missing-in-action” or “prisoner of war,” then this power of attorney shall automatically remain valid and in full effect until sixty (60)

days after I have returned to the United States Military control following termination of such status. This power of attorney shall not be affected by the

disability of the principal.

IN WITNESS WHEREOF, I have hereunto set my hand and seal on this day, ________________________.

_____________________________________

Grantor’s Signature

WITNESSED:

PRINT NAME

____________________________________

PRINT ADDRESS

_________________________________________________________________________________________________________________________

ACKNOWLEDGEMENT BY NOTARY PUBLIC

_________________________________________________________________________________________________________________________

STATE OF

, COUNTY OF

,ss.

The foregoing instrument was acknowledged before me by

and the above named two witnesses, this ____

day of _____________,_____. They were all identified by Armed Forces ID Cards.

________________________________

_________________________________

Print Name

Notary Public

_________________________________________________________________________________________________________________________

ACKNOWLEDGEMENT BY A PERSON AUTHORIZED TO ACT AS A NOTARY PURSUANT TO TITLE 10 U.S.C. 1044a

_________________________________________________________________________________________________________________________

With the United States Armed Forces

At______________________________, the forgoing instrument was acknowledged before me by__________________________and the above named

two witnesses, this_____day of ____________,_____. They were all identified by Armed Forces ID Cards. I do further certify that I am a person in the

service of the U.S. Armed Forces authorized the general powers of a notary public under Title 10 U.S.C. 1044a and JAGMAN Chapter IX.

_________________________________

Print Name, Grade, Armed Force

NO SEAL REQUIRED

NAVJAG Form 5801/11

Form Navjag Form 5801/11 - General Power Of Attorney Page 2

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