Special Power of Attorney - US Bankruptcy Court

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SPECIAL POWER OF ATTORNEY UNITED STATES BANKRUPTCY COURT FOR THE __________ DISTRICT OF __________ To _________________________________________________________________ of _____________________________________________________________________ (Mailing Address), and ____________________________________________________ of _____________________________________________________ (Mailing Address): The undersigned claimant hereby authorizes you, or any one of you, as attorney in fact for the undersigned with full power of substitution, to attend the meeting of creditors of the debtor or any adjournment of the meeting, and to vote in my behalf on any question that may be lawfully submitted to creditors at such meeting or adjourned meeting, and for a trustee or trustees of the estate of the debtor. Dated: _____________. ____________________________ Signature and Title ___________________ If appropriate By _________________________________________ Address: ________________________________________________ (If executed by an individual) Acknowledged before me on __________. (If executed on behalf of a partnership) Acknowledged before me on ______________, by ___________________________________, who says that __________ (He or She) is a member of the partnership named above and is authorized to execute this power of attorney in its behalf. (If executed on behalf of a corporation) acknowledged before me on ____________, by __________________________________, who says that ___________ (He or She) is ___________________________ of the corporation named above and is authorized to execute this power of attorney in its behalf. ______________________________________ Signature ___________________________ (Official character)

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