Special Power of Attorney
Special Power of Attorney
Special Power of Attorney
_____________________
Principal
________________________
Spouse
________________________ ________________________
Witness Witness
Personally came and appeared before me this ___ day of ______ 201__,
at ___________________, with Government Issued ID
_____________________, known to me and to me known to be the same
person who executed the foregoing instrument, and acknowledged that the same
is his/her free act and voluntary deed.
WITNESS MY HAND AND SEAL, at the place and on the date first
above written.
NOTARY PUBLIC