Special Power of Attorney

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									This is a fully customizable agreement that allows an agent to act on behalf of a
principal for the matters specified in the agreement. The contracting parties can define
the specific tasks the agent has the power to undertake on behalf of the principal. In
addition, this agreement provides for the effective date of the appointment as well as
requiring certification by a notary public. This agreement can be used by individuals
that want to appoint an agent to act on their behalf for specified tasks.
                     SPECIAL POWER OF ATTORNEY
         I, ______________, of _______________ [Comment: insert address], hereby appoint
______________, of _______________, [Comment: insert address], as my Attorney-in-Fact to
act in my capacity to do any and all of the following:

   1. __________________________________________________________________
   2. __________________________________________________________________
   3. __________________________________________________________________
   4. __________________________________________________________________
[Comment: describe specific activity for which you are granting this power of attorney]

         The rights, powers, and authority to my Attorney-in-Fact to exercise any and all of the
rights and powers hereinabove granted shall commence and be in full force and effect on
__________, 20____, and shall remain in full force and effect until __________, 20____, or
unless specifically extended or rescinded earlier by either party.

Dated: __________, 20____

By: __________

STATE OF __________, COUNTY OF __________

                           NOTARIAL ACKNOWLEDGEMENT

STATE OF __________ COUNTY OF __________

        BEFORE ME, the undersigned authority, on this ________ day of ________, 20_____,
personally appeared, __________, to me well known to be the person described in and who
signed the foregoing, and acknowledged to me that he executed the same freely and voluntarily
for the uses and purposes therein expressed.

WITNESS my hand and official seal the date aforesaid.


My Commission Expires:

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