Colorado Statutory - Power Of Attorney For Property Form Page 5

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Specimen signatures of agent
I certify that the signatures of my
(and successors).
agent (and successors) are correct.
________________________________
________________________________
Agent
Principal
________________________________
________________________________
Successor Agent
Principal
________________________________
________________________________
Successor Agent
Principal
STATE OF COLORADO
)
) ss.
COUNTY OF ______________________
)
This document was acknowledged before me on _______________________________,
(date)
by ________________________________ who certifies the correctness of the
(name of principal)
signature(s) of the agent(s).
My commission expires: ____________________________
__________________________________
Notary public
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