Fms Form 1-04 235 - Execute A Power Of Attorney

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R
C
C
ESOLUTION BY
ORPORATION
ONFERRING
A
U
O
UTHORITY
PON AN
FFICER TO
Execute A Power of Attorney
FOR THE COLLECTION OF CHECKS
U
S
T
DRAWN ON THE
NITED
TATES
REASURY
Resolved, That ___________________________________________________________________ does
(Exact corporate name)
hereby name ______________________________________ , as attorney, to receive, endorse, and collect
(Name of attorney)
for and in behalf of the corporation any check drawn on the United States Treasury and to give full
discharge therefore; and further, that _______________________________________ be, and is hereby
(Name and title of officer)
authorized and empowered to execute, in behalf of said corporation, a power of attorney appointing the said
__________________________________ , as such attorney for the purpose above expressed.
(Name of attorney)
The said corporation hereby ratifies and confirms all that may lawfully be done by virtue hereof.
I HEREBY CERTIFY that the foregoing is a true and correct copy of a resolution passed at a
_________________ meeting of the Board of ______________________, the governing body of
(Regular or Special)
_____________________a corporation duly organized and existing under and by virtue of the laws of
(Exact corporate name)
________________________ , held on the ________ day of _________________, 20 ___ , at
_________________________.
AND I FURTHER CERTIFY that due notice of said meeting was given to each member of said Board;
that a quorum was present; and that said resolution has not been amended or repealed.
WITNESS my signature and the seal of said corporation, this ____ day of ____________, 20 ___
________________________________
(Official signature of officer)
[IMPRESS CORPORATE SEAL HERE]
________________________________
(Official title of officer)
IMPORTANT – Do not execute this instrument without first reading the instructions on the next
page. Exact compliance with these instructions will avoid complications.
DEPARTMENT OF THE TREASURY
FMS
FORM
235
(SUPERSEDES SF 235 (APRIL 1963)
FINANCIAL MANAGEMENT SERVICE
1-04

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