Special Power of AttorneySpecial Power of AttorneySpecial Power of Attorney
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PREAMBLE: This is a MILITARY POWER OF ATTORNEY prepared pursuant to Title 10, United States Code, §1044b, and executed by a person
authorized to receive legal assistance from the military services. Federal law exempts this power of attorney from any requirement of form,
substance, formality, or recording that is prescribed for powers of attorney by the laws of a state, the District of Columbia, or a territory,
commonwealth, or possession of the United States. Federal law specifies that this power of attorney shall be given the same legal effect as a
power of attorney prepared and executed in accordance with the laws of the jurisdiction where it is presented.

KNOW ALL PERSONS BY THESE PRESENTS: That I, ____________________________________________________,
of __________________________________________________________________________, (city/state) do hereby appoint
__________________________________________________________, of ___________________________________