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SPECIAL INSTI J1111N11 <br /> ON THE FOLLOWING LINES YOU MAY GIVE SPECIAL INSTRUCTIONS <br /> LIMITING OR EXTENDING THE powERS GRANTED TO YOUR AGENT. <br /> UNLESS YOU DIRECT OTHERWISE ABOVE, THIS POWER OF ATTORNEY IS <br /> EFFECTIVE IMMEDIATELY AND WILL CONTINUE UNTIL IT IS REVOKED. <br /> This Power of Attorney will continue to be effective even <br /> though I became incapacitated. <br /> STRIKE. THE PRECEDING SENTENCE IF YOU DO NOT WANT THIS POWER <br /> OF ATTORNEY TO CONTINUE IF YOU BECOME INCAPACITATED. <br /> EXERCISE OF POWER OF ATTORNEY WHERE MORE THAN ONE AGENT <br /> DESIGNATED. <br /> If I have designated more than one agent, the agents are to <br /> act SEPARATEDLY <br /> IF YOU APPOINTED MORE THAN ONE AGENT AND YOU WANT EACH AGENT <br /> TO BE ABLE TO ACT ALONE WITHOUT THE OTHER AGENT JOINING, WRITE <br /> THE, WORD "SEPARATELY" IN THE BLANK SPACE ABOVE-YOU IF YOU DO NOT <br /> INSERT ANY WORD IN TBE BLANK SPACE, OR <br /> RD <br /> "JOINTLY" , THEN ALL OF YOUR AGENTS MUST AC'S' OR SIGN TOGETHER. <br /> I agree that any third party who receives a copy of this <br /> document may act under it. Revocation of the power of attorney <br /> is not effective as to a third party until the third party has <br /> actual knowledge of the revocation. I agree to indemnify the <br /> third party for any claims that arise against the third Party <br /> because of reliance on this power of attorney. <br /> Signed this day ofU <br /> 2C <br /> (social security number) <br /> BY ACCEPTING OR ACTING UNDER THE APPOINTMENT, THE AGENT <br /> ASSUMES THE FIDUCIARX AND OTHER LEGAL RESPONSI9ILITIES OF AN <br /> AGENT. <br />