Fms Form 231 - General Power Of Attorney
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General Power of Attorney
BY INDIVIDUAL FOR THE COLLECTION OF CERTAIN
U
S
T
CHECKS DRAWN ON THE
NITED
TATES
REASURY
Know all by these Presents:
That the undersigned, ____________________________ , of ___________________________________
(address)
does hereby appoint _____________________________ , of ___________________________________
(address)
as his/her attorney to receive, endorse, and collect checks payable to the order of the undersigned, drawn on the
United States Treasury, and to execute in the name and on behalf of the undersigned, all bonds, indemnities,
applications, or other documents, which may be required by law or regulation to secure the issuance of substitutes
for such checks, and to give full discharge for same, granting to said attorney full power of substitution and
revocation, hereby ratifying and confirming all that said attorney, or his substitute, shall lawfully do or cause to be
done by virtue hereof.
WITNESS the signature of the undersigned, this _________day of __________________ , 20 ____
________________________________
(Signature of grantor)
* Personally appeared before me the above-named ________________________________________________
known or proved to me to be the same person who executed the foregoing instrument, and acknowledged to me
that he executed the same as his free act and deed.
WITNESS my signature, official designation, and seal.
________________________________
[IMPRESS SEAL HERE]
(Signature of attesting officer)
________________________________
(Official designation)
Dated at ____________________ , this ______ day of ____________________ , 20 _____
My commission expires ______________________, 20 _____
IMPORTANT – Do not execute this instrument without first reading the instructions on the next
page. Exact compliance with these instructions will avoid complications.
* See Instructions on next page – Paragraphs 2(a) and 2(b)
DEPARTMENT OF THE TREASURY
FMS
FORM
231
(SUPERSEDES SF 231 (DECEMBER 1974)
FINANCIAL MANAGEMENT SERVICE
1-04
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