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Power o f A ttorney – T itle
Known t o a ll m en b y t hese p resent,
That w e / I _ ___________________________________________________________________________
Date o f B irth ( Individuals) o r E IN ( Companies): _ _________________________________
Do M ake a nd a ppoint C hris L edue o ur / m y t rue a nd l awful a ttorney, f or u s / m e a nd i n o ur / m y
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titles t o:
Year _ _____________ M ake _ ___________________________________________
Model _ ______________________ V in# _ __________________________________
We / I a lso h ereby g ive o ur / m y t rue a nd l awful a ttorney t he p ower t o s ubstitute a ny o ther p erson o r
persons t o a ct a s o ur / m y t rue a nd l awful A ttorney f or t he p urposes h ereinabove s et f orth w ith p ower
to o ur / m y s aid t rue a nd l awful A ttorney o r s ubstitute t o d o a ll l awful a cts r equisite f or e ffecting t he
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do t herein b y v irtue o f t hese p resent. I n W itness W hereof, w e / I h ave h ereunto s et o ur / m y h and(s)
and s eal(s) t his _ _____ d ay o f _ _________________________, _ ________.
Signed ( Applicant): _ __________________________________________
Notary P ublic: _ ______________________________________________
Subscribed a nd s worn t o b efore m e t his _ ________ d ay o f _ _____________ , _ _______.
S igned ( Chris L edue): _ ____________________________________________________
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