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SPECIAL POWER OF ATTORNEY
I, (1), of (2), hereby appoint (3) of (4), as my attorney in fact to act in my capacity to do any and all of the following:
(DESCRIBE THE EXTENT OF AUTHORITY YOU ARE GIVING TO YOUR ATTORNEY-IN-FACT)
The rights, powers, and authority of my attorney in fact to exercise any and all of the rights and powers herein granted shall commence and be in full force and effect on (5), 19__(6)_, and shall remain in full force and effect until (7) or unless specifically extended or rescinded earlier by either party.
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