Official Durable Power Of Attorney Form Page 9

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Witness Attestation
I,
, the first witness, and I
Printed Name of First Witness
Printed Name of Second Witness
the second witness, sign my name to the foregoing power of attorney being
first duly sworn and do not declare to the undersigned authority that the
principal signs and executed this instrument as him or her, and that I, in the
presence and hearing of the principal, sign this power of attorney as witness to
the principal’s signing and that to the best of my knowledge the principal is
eighteen years of age or older, of sound mind and under no constraint or undue
influence.
Signature of First Witness
Signature of Second Witness
   

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