Limited Power of Attorney for
Stock Transactions and
Corporate Powers
ocstoc Legal Agreements
This Limited Power of Attorney for Stock Transactions and Corporate Powers is intended to
be used by a shareholder/individual to authorize another person to vote stock and to conduct
other corporate powers.
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WARRANTY, INCLUDING AS TO LEGAL EFFECT OR COMPLETENESS. They are for guidance and should be
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Attorney Drafted
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LIMITED POWER OF ATTORNEY FOR STOCK TRANSACTIONS AND
CORPORATE POWERS
STATE OF NEBRASKA
COUNTY OF __________________________
KNOW ALL MEN BY THESE PRESENTS:
That I, ____________________________ [Instruction: Insert the name of person/principal
making this power of attorney] residing at ______________________________ [Instruction:
Insert the address of person/principal making this power of attorney] (hereinafter referred to
as the “Principal”) being of sound mind and memory, do hereby make, constitute and appoint
____________________________ [Instruction: Insert the name of Agent] residing at
_________________________________ [Instruction: Insert the address of Agent], as my true
and lawful Attorney-in-Fact (hereinafter referred to as the “Attorney-in-Fact”),
THIS DOCUMENT SHALL BE CONSTRUED AND INTERPRETED AS A LIMITED
POWER OF ATTORNEY AND MY ATTORNEY-IN-FACT SHALL HAVE THE POWER
AND AUTHORITY TO PERFORM OR UNDERTAKE ANY ACTION I COULD PERFORM
OR UNDERTAKE IF I WERE PERSONALLY PRESENT.
I hereby authorize my Attorney-in-Fact to act with the following limited powers:
Exercising stock options and voting all of my shares of stock in
______________________________________ [Instruction: Insert the name of Corporation
where the stock is deposited] a Corporation incorporated in the State of Nebraska, ( hereinafter
referred to as the "Corporation"), without the necessity of a proxy and the right to appoint
proxies therefore, and possessing all powers that I possess as granted to me by the Bylaws of said
Corporation, to incorporate, reorganize, merge, consolidate, recapitalize, sell, liquidate or
dissolve any business; elect or employ officers, directors and agents; carry out the provisions of
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any agreement for the sale of any business interest or the stock therein. These powers include,
but are not limited to, the following:
1. Receive, hold, transfer, sell and convey any stock certificates of the Corporation and all
documents of title in connection therewith;
2. Make, execute and deliver, in my name and on my behalf, for any consideration whatsoever,
for cash, instruments of conveyance covering the stock of the Corporation, containing such
terms, covenants and conditions deemed necessary or advisable by my Attorney-in-Fact;
3. Acquire, receive, and retain investments without regards to principles of diversification, and
without regard to predominance of common stock, or stock in closely held corporations;
4. To enter into any plan or agreements for sale, merger, consolidation, liquidation,
recapitalization, or other disposition of any trust or estate property, or of any corporation
issuing securities held as part of my estate or any trust; and to accept in such transactions any
cash, securities, or property that my Attorney-in-Fact deems proper;
5. Execute, in my name and on my behalf, such contracts or other assurances as may be
requested or required by any bank or other institution or individual when carrying out the
powers granted herein; and
6. Acquire, exchange, buy or sell my stock in the Corporation, or any interest therein, on such
terms and conditions as my Attorney-in-Fact shall deem fit and proper. Execute and deliver,
in my name and on my behalf, conveyances of said stock.
FURTHER, I do authorize my aforesaid Attorney-in-Fact to execute, acknowledge and deliver
any instrument under seal or otherwise, and to do all things necessary to carry out the intent
hereof, hereby granting unto my Attorney-in-Fact full power and authority to act in and
concerning the premises as fully and effectually as I may do if personally present, limited,
however, to the purpose for which this limited power of attorney is executed.
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PROVIDED, however, that all business transacted hereunder for me or for my account shall be
transacted in my name, and that all endorsements and instruments executed by my Attorney-in-
Fact for the purpose of carrying out the foregoing powers shall contain my name, followed by
that of my Attorney-in-Fact.
DURABILITY. [Instruction: Choose any one option as per applicable and mark it “X”]
This Power of Attorney shall be:
( _________ ) Non-Durable;
( _________ ) Durable and shall not be affected by any subsequent disability or incompetence.
I further declare that any act or thing lawfully done hereunder and within the powers herein
stated by my Attorney-in-Fact shall be binding on myself and my heirs, legal and personal
representatives and assigns, whether the same shall have been done either before or after my
death, or other revocation of this instrument, unless and until reliable intelligence or notice
thereof shall have been received by my Attorney-in-Fact.
IN WITNESS WHEREOF, I have executed this Limited Power of Attorney and here unto set
my hand and seal this _______ [Month] _______ [Date], 20_____
___________________________________
[Instruction: Insert signature of Principal]
_____________________________________________
[Instruction: Insert typed/printed name of Principal]
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ATTESTATION
The hereinafter named Witnesses, each declare under penalty of perjury under the laws of the
State of Nebraska, that the principal is personally known to us, that the principal signed and
acknowledged this Limited Power of Attorney in our presence, that the principal appears to be of
sound mind and under no duress, fraud or undue influence, that we are not the person appointed
as Attorney-in-Fact by this document and that we witnessed this Limited Power of Attorney in
the presence of the principal. We are not related to the principal by blood, marriage or adoption,
and to the best of our knowledge, are not entitled to any part of the estate of the principal upon
the death of the principal under a will now existing or by operation of law.
Witnesses # 1 Witness # 2
__________________________ __________________________
Signature Signature
Name: ____________________ Name: ____________________
Address: ____________________ Address: ____________________
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ACKNOWLEDGMENT
State of Nebraska
County of __________________
I, the undersigned, a Notary Public in and for said County in said State, hereby certify that
_________________________, who is known to me, acknowledged before me on this day that,
being informed of the contents of the instrument, he/ she executed the same voluntarily on the
day the same bears date
Given under my hand and official seal this the ________ day of ________, ____.
__________________________________
Notary Public
My Commission Expires: ______________
(SEAL)
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Note: Carefully read and follow the Instructions and Comments contained in this document for
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