Embassy Of The Usa - Power Of Attorney

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POWER OF ATTORNEY
Republic of France, City of Paris ) s.s.
Embassy of the United States of America
)
KNOW ALL MEN BY THESE PRESENTS THAT:
Middle name in your passport
Family name as it appears in your passport
First name
whose residence is:
by these presents hereby make, constitute and appoint:
Family name of the person to whom you are granting the power of attorney
First name
Middle name
true and lawful attorney in fact for myself and in my place and stead to:
Granting and giving unto said attorney in fact full authority and power to do and perform any and all other acts necessary of
incident to the performance and execution of the powers herein expressly granted, with power to do and perform all acts
authorized hereby, as full to all intents and purposes as the grantor might or could do if personally present, with full power
of substitution. IN TESTIMONY WHEREOF, I have hereunto set my hand this ________ day of _____________20 .
________________________________________________
Sign only when asked to do so before the Consular officer
I, _________________________,
Consul of the United States of America, at Paris, France, duly commissioned and
qualified do hereby certify that: on this day, before me personally appeared:
___________________________________________, known to me to be the individual(s) described in whose name is/are
subscribed and who executed the foregoing instrument, and being informed by me of the contents thereof duly
acknowledged to me that he/she executed the same freely and voluntarily for the uses and purposes therein mentioned.
IN WITNESS THEREOF, I have hereunto set my hand and official seal the day and year last above written.
__________________________________________________________________
IMPORTANT: The above is a copy of a “general form” for granting power of attorney which has been copied from Jones Legal Forms that lists
over 30 variations of power of attorney, and if any doubt exists as to the people form to use in any particular case, one should consulate an attorney.

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