AUTHORIZATION CARD FOR ATTORNEY TO SIGN SIGNATURE OF DEPOSITOR
__________________ (depositor), the undersigned, of __________________________ ______________________________ (address), hereby authorizes _________________ (attorney), of ___________________________________________________ (address), to sign and endorse checks, drafts, and notes and to accept drafts as attorney for the undersigned. The undersigned shall indemnify _______________________ (bank), located at _____________________________________________________ (address), against any loss suffered as a result of acting on this power without notice of its revocation.
Dated: ______________________
____________________________ (Signature of Depositor)
____________________________ (Signature of Attorney)