Idaho Statutory Form Power Of Attorney Template Page 4
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5SIGNATURE AND ACKNOWLEDGMENT
(OPTION ONE - IF YOU ARE ABLE TO SIGN ON YOUR OWN)
Principal's Signature:
________________________________________________________________
Date:
________________________________________________________________
Principal's Name Printed:
________________________________________________________________
Principal's Address:
________________________________________________________________
Principal's Phone Number:
a
________________________________________________________________
NOTARY - REQUIRED FOR RECORDING AND FOR REAL PROPERTY
STATE OF
Idaho
)
SS.
COUNTY OF
)
On this __ day of ________, 20__ , before me, a Notary Public in and for said State, personally
appeared ________________, known or identified to me to be the person(s) whose name(s) is/are
subscribed to the within instrument, and acknowledged to me that he/she/they executed the same.
In witness whereof, I have hereunto set my hand and affixed my official seal the day and year in this
certificate first above written.
__________________________________________
Notary Public of
Residing at:
My Commission Expires:
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