) ) )
SS ACKNOWLEDGEMENT
Grant of Exclusive Power of Attorney to file documents in any Court regarding legal affairs of principal person JOHN HENRY DOE
POWER OF ATTORNEY
I, John Henry-Doe, Secured Party at 1234 Sovereign Avenue Indianapolis Indiana, do hereby appoint John Henry-Doe #2, Secured Party as my private attorney in fact, to take exclusive charge of, manage, and conduct all of my, court matters, legal affairs, filing documents on my behalf in any court, recorders office, Administrative offices and Administrative Courts in the event that I John Henry-Doe am unable to file for myself without limitation on the powers necessary to carry out this exclusive purpose of attorney in fact as authorized:
FACT
John Henry-Doe, do hereby grant power of attorney for the reasons state above to John Henry-Doe #2 in exercising this exclusive power of attorney;
Executed and sealed by the voluntary act of my own hand, this ___ day of ____________, 2012.
______________________________________
___________________________________
John Henry-Doe
John Henry-Doe #2
ACKNOWLEDGEMENT OF WITNESSES
State Indiana Marion County ) ) SS ACKNOWLEDGEMENT )
Personally appeared John Henry-Doe & John Henry-Doe #2 known to me (or proved to me on the basis of satisfactory evidence of identification) to be the living men whose names is subscribed upon these instrument(s) and acknowledged to me that they executed the same in their authorized capacity; and by their signature on this instrument, as their freewill act and deed.
Subscribed and affirmed before We, the below signed witnesses on the ______Day of July 2012.
Witness 1:____________________________________________Print:______________________________________Date:____________
Witness 2:____________________________________________Print:______________________________________Date:____________
Witness 3:____________________________________________Print:______________________________________Date:____________
Witness 4:____________________________________________Print:______________________________________Date:____________
Witness 5:____________________________________________Print:______________________________________Date:____________
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