Limited Power Of Attorney
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1
2Limited Power of Attorney
Be it known that
I, do hereby
[Legal Name], AKA [Name]
A resident of
[City][State]
Located at
[Address]
[City], [State] [Zip Code]
Do Hereby Appoint
[Legal Name]
A resident of
[City][State]
Located at
[Address]
[City], [State] [Zip Code]
As my attorney-in-fact to act on my behalf for the following specific and limited purpose(s):
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
This power of attorney is to start to be effective on ____/____/______, and shall remain
effective until ____/____/______.
I hereby give and grant the above listed attorney-in-fact full power and authority to do and
perform all and whatever is necessary to be done in and about the specific and limited premises
that are set forth above. I ratify and confirm all that said attorney shall lawfully do or cause to
be done by the virtue hereof.
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