Irrevocable Power Of Attorney Form To Convey Real Estate Page 2

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State of ______________________
County of _______________________
ON THIS _________ day of ________________________________ before me, the undersigned officer,
personally appeared,___________________________________
or satisfactorily proven to be the person whose name is subscribed to the within instrument, who
acknowledged that he/she/they executed the same for the purposes therein contained. IN WITNESS
WHEREOF, I hereunto set my name and official seal.
_______________________
Notary Public

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