Power Of Attorney For Care, Custody Or Property Of Minor Child Page 4

RECEIVED COPIES OF THOSE POWERS OF ATTORNEY SHOULD BE

NOTIFIED.

I agree that any third party who receives a copy of this document may act

under it. I may revoke this power of attorney by a written document that

expressly indicates my intent to revoke. Revocation of the power of

attorney is not effective as to a third party until the third party learns of the

revocation. I agree to indemnify the third party for any claims that arise

against the third party because

of reliance on this power of attorney.

Signed this ______ day of ___________________, 200___.

____________________________________

Your Signature

Printed name: _________________________

STATE OF MONTANA

)

):ss

COUNTY OF __________ )

This document was acknowledged before me on

_____________________, _______, by

_________________________________, the principal named above.

___________________________________________

Notary Public for the State of Montana

Residing at ________________________________

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Parent category: Legal