Specific Power of Attorney
BE IT ACKNOWLEDGED that I, ___________________________________
________________________________, the undersigned, do hereby grant a limited and
social security number
specific power of attorney to _______________________________________________
as my attorney-in-fact.
Said attorney-in-fact shall have full power and authority to undertake and perform
only the following acts on my behalf:
The authority herein shall include such incidental acts as are reasonably required to
carry out and perform the specific authorities granted herein.
My attorney-in-fact agrees to accept this appointment subject to its terms, and agrees
to act and perform in said fiduciary