POWER OF ATTORNEY FORMS
_________________________ (“Institution”), with its principal place of business at
_________________________, in accordance with a resolution duly adopted by its Board of
Directors at a meeting held on the ____ day of __________, , in accordance with the
Institution’s by-laws, hereby makes, constitutes and appoints the Federal Reserve Bank of Kansas
City (“Reserve Bank”) its true and lawful Attorney and authorizes and empowers said attorney, in
the Institution’s name, to assign or transfer to any person, corporation or other entity (including the
Reserve Bank) any securities or other assets in which the Reserve Bank has a security interest or
that are now, or may hereafter be, pledged to the Reserve Bank in its individual capacity or as
Fiscal Agent for the United States. The Institution gives and grants to said Attorney full power and
authority to do and perform any and all acts which said Attorney shall deem useful, necessary or
proper in order to carry out the foregoing powers as fully as the Institution might or could do if the
Institution were performing such act, with full power of substitution or revocation, hereby ratifying
and confirming all that said Attorney or its substitute may or shall lawfully do, or cause to be done,
by virtue hereof. It is the intent of the Institution that the powers herein conferred upon said
Attorney shall be construed in the broadest possible manner, that a photocopy of this Power of
Attorney shall serve as evidence of the authority and power granted herein as fully and completely
as the original instrument, and that any person or entity participating in a transaction with said
Attorney shall rely on such photocopy.
As any securities or other assets covered by this Power of Attorney will have been pledged
to the Reserve Bank as collateral to secure the repayment of overdrafts incurred by the Institution
or advances made to the Institution, together with interest thereon, or as collateral for deposits of
monies of the Reserve Bank or the U.S. Treasury, including, but not limited to, treasury, tax and
loan deposits, held by the Institution, this Power of Attorney is coupled with an interest and, as
such, is irrevocable.
(Corporate Seal) (Name of Institution)
Signature of certifying officer 1
Date: _________________ Title: ________________________
State of _______________)
County of _____________)
On this ____ day of __________ , 20___, before me the undersigned, a Notary Public in
and for said county and state, appeared ____________________, to me personally known, who
being by me duly sworn did say that he is the ____________________ of the Institution described
in the foregoing Power of Attorney, and that the seal thereto affixed is the corporate seal of said
Institution, and that said Power of Attorney was signed and sealed on behalf of said Institution by
authority of its board of directors, and said ____________________ acknowledged said Power of
Attorney to be the free act and deed of said Institution. Witness my hand and notarial seal
subscribed and affixed in said county and state, the day and year last above written.
(Notary Seal) __________________________
My commission expires: ____________
The certifying officer must be a person authorized in Paragraph 1 of the “Certified Copy of
Resolutions Conferring Authority to Execute Power of Attorney and/or Assignments”.
CERTIFIED COPY OF RESOLUTIONS CONFERRING AUTHORITY TO
EXECUTE POWER OF ATTORNEY AND/OR ASSIGNMENTS
I, the undersigned _____________________________1 of _________________
_________________________________2 (“Institution”), do hereby certify that the following
resolutions are true and correct copies of the resolutions of the Board of Directors of the Institution
duly adopted in accordance with and as authorized by its charter and bylaws at a meeting of said
board duly called and held on __________ , 20___, at which meeting a quorum of all of the
directors was present and acting throughout, and that said resolutions have not been rescinded or
modified and are now in full force and effect.
1. RESOLVED, that officers of the Institution with the following titles_____________________
Exact titles of authorized officers
and their successors in office be, and each of them hereby is authorized, in the name and on
behalf of the Institution, from time to time, to execute the Power of Attorney of this Institution,
as well as any detached assignments or stock or bond powers, with respect to securities or other
assets pledged to the Federal Reserve Bank of Kansas City (“Reserve Bank”); and to do any
and all acts and things that may be necessary or incidental to any transaction authorized by this
resolution, or that may be designed or intended to carry out the purpose of this resolution.
2. RESOLVED, that these resolutions and all the powers and authorizations hereby granted or
confirmed shall continue in full force and effect until written notice of the revocation thereof
shall have been received by the Reserve Bank; and that a duly certified copy of these
resolutions, with the seal of this Institution attached thereto, be furnished to the Reserve Bank.
IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed the seal of the
Dated: _______________, 20___.
(Signature of certifying officer)¹
The officer executing this certificate must be a bank officer other than one authorized in Paragraph
1 to execute the Power of Attorney.
Enter the official name of the depository institution.