Arkansas Statutory Form Power Of Attorney Page 5

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ACKNOWLEDGMENT
STATE OF ARKANSAS
)
)
)
[COUNTY]
COUNTY OF
On this ______ day of_____________, 20___, before me, the undersigned officer,
personally appeared
[NAME OF
CLIENT], known to me (or satisfactorily proven) to be
the person who subscribed to the within instrument and acknowledged that he/she executed
the same for the consideration, use and purposes therein contained.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this __ day of
_________, 20___.
________________________________
NOTARY PUBLIC
My Commission Expires:
___________________
(S E A L)
Page 5 of 8
__________ Initials

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