Power Form Of Attorney Appointing An Agent For Service Of Process Under The Terms Of The Mississippi Pesticide Law Of 1975 (Page 2 of 2) in pdf

Power Form Of Attorney Appointing An Agent For Service Of Process Under The Terms Of The Mississippi Pesticide Law Of 1975 Page 2

Complete for Corporations, Partnerships & LLC’s

STATE OF__________________________________________________________________________________________

COUNTY OF _______________________________________________________________________________________

Personally appeared before me, the undersigned authority in and for the said county and state, on this ________day

of _______________________, 2_____, within my jurisdiction, the within named ________________________________ ,

who acknowledged that (he) (she) is ____________________________________ of ______________________________ ,

a __________________________________ , and that for and on behalf of the said ___________________________, and

(Partnership, LLC or Corporation)

as its act and deed (he) (she) executed the above and foregoing instrument, after first having been duly authorized by said so

to do.

(Partnership, LLC or Corporation)

Notary Public

My Commission Expires:

(Affix official seal, if applicable)

Complete for Individuals

STATE OF_________________________________________________________________________________________

COUNTY OF ______________________________________________________________________________________

PERSONALLY APPEARED BEFORE ME, the undersigned authority in and for the said county and state, on this

day of ______________ , 2_____ , within my jurisdiction, the within named _________________

, who acknowledged that (he) (she) (they) executed the above and foregoing instrument.

Notary Public

My commission Expires:

(Affix official seal, if applicable)

Power Form Of Attorney Appointing An Agent For Service Of Process Under The Terms Of The Mississippi Pesticide Law Of 1975 Page 2