Special Power of Attorney Form

Special Power of Attorney Form I am the undersign below ______________________________ Born in __________________carry _________________ passport number _________________, issue in _________________ issue date ___________________, I hereby give the power of Attorney to and in my place to ______________________________________________, he/or she reside in the county of ______________________so he/or she can perform and do in my place the following ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ I hereby give him/or her the power of attorney to sign on my behalf on all what is needed from documents to be signed which is related to this matter. Signer: Witness: Witness: Subscribed and sworn to before me this _____ day of ____________, 2006 by _____________________________ who has produced _______________ as identification. ______________________ Notary Public

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