Fillable Agent Authorization/ Limited Power Of Attorney Form (Page 4 of 4) in pdf

DO NOT STAPLE

CSRIA_00778H 0416 — Page 4 of 4

Signature, indemnification, and notarization — YOU MUST SIGN BELOW

UNLESS YOU DIRECT OTHERWISE, THIS LIMITED POWER OF ATTORNEY IS EFFECTIVE IMMEDIATELY AND WILL CONTINUE UNTIL IT

IS REVOKED OR TERMINATED AS SPECIFIED BELOW. THIS LIMITED POWER OF ATTORNEY WILL CONTINUE TO BE EFFECTIVE EVEN

IF YOU BECOME DISABLED, INCAPACITATED, OR INCOMPETENT. THIS LIMITED POWER OF ATTORNEY MAY BE REVOKED BY YOU

AT ANY TIME. ABSENT REVOCATION, THE AUTHORITY GRANTED IN THIS POWER OF ATTORNEY IS EFFECTIVE WHEN THIS LIMITED

POWER OF ATTORNEY IS SIGNED AND CONTINUES IN EFFECT UNTIL YOUR DEATH.

I agree that any third party who receives a copy of this document may act under it with respect to the CollegeBound 529 Account(s)

identified in Section 1. Revocation or termination of the Limited Power of Attorney due to my death, court determination or any other

reason is not effective as to a third party until the third party receives written notice of the revocation or termination and the third

party has had a reasonable amount of time to act on such notice. I, for myself and for my heirs, executors, legal representatives and

assigns, agree to indemnify and hold harmless CollegeBound 529, the State of Rhode Island, the Office of the General Treasurer of

the State of Rhode Island, the Rhode Island State Investment Commission, Invesco Distributors, Inc., Invesco Advisors, Inc., Ascensus

College Savings Recordkeeping Services, LLC and any of their respective authorized agents, and employees, and any third party acting

hereunder (any of such persons, individually, a “third party”) in connection with CollegeBound 529, from and against any and all claims

that may arise or do arise against such third party by reason of any action or inaction by such third party having relied on the provisions

of this Limited Power of Attorney, including any claims that arise from acting on instructions believed by any of them to have originated

from my Agent, and to pay such third party promptly on demand, for any and all losses arising out of any act by my Agent under this

Limited Power of Attorney.

IF YOU HAVE ANY QUESTIONS ABOUT THE LIMITED POWER OF ATTORNEY OR AUTHORITY YOU ARE GRANTING TO YOUR AGENT,

YOU SHOULD SEEK LEGAL ADVICE BEFORE SIGNING THIS FORM.

Do not sign below until you are in the presence of the authorized notary providing the notary service.

SI GNAT U R E

Signature of Account Owner

Date (mm/dd/yyyy)

Your signature must be notarized. See below. We cannot accept a signature guarantee in place of a notary’s seal.

STATE OF ___________________________ )

)ss.:

COUNTY OF _________________________ )

This document was acknowledged before me on _______________ (date) by _______________________________________

(name of Account Owner), who certifies the correctness of the signature of the Account Owner.

SI GNAT U R E

Signature of Notary

Date (mm/dd/yyyy)

Name of Notary (first, middle initial, last)

Notary to place seal here

My commission expires:

Date (mm/dd/yyyy)

Applies to signature in Section 4.

State of Rhode Island

Office of the General Treasurer

Seth Magaziner

Agent Authorization/ Limited Power Of Attorney Form Page 4