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201600302
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Last modified
5/17/2016 12:56:35 PM
Creation date
1/19/2016 4:01:16 PM
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DEEDS
Inst Number
201600302
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I shall be considered disabled or incapacitated for purposes of this power of attorney if a physician, based on that <br />physician's examination, certifies in writing at a date subsequent to the date which this power of attorney is <br />executed, that I am disabled from or incapable of exercising control over my person, property, personal affairs, or <br />financial affairs. I authorize the physician who so certifies, to disclose my physical or mental condition to another <br />person for purposes of this power of attorney. A third party who accepts this power of attorney, endorsed by proper <br />physician certification of my disability or incapacity, is held harmless and fully protected from any action taken <br />under this power of attorney. <br />Notwithstanding my inclusion of a specific expiration date herein, if on that specified expiration date 1 should be or <br />have been properly certified, in writing, by a physician to be disabled from or incapable of exercising control over <br />my person, property, personal affairs, or financial affairs, then this Power of Attorney shall remain valid and in full <br />effect until sixty (60) days after I have recovered from such disability UNLESS OTHERWISE REVOKED OR <br />TERMINATED BY ME. Furthermore, if on the above- specified expiration date, or during the sixty (60) day <br />period preceding that specified expiration date, I should be or have been determined by the United States <br />Government to be a military status of "missing," "missing in action," or prisoner ofwar," then this Power of <br />Attorney shall remain valid and in full effect until sixty (60) days after l have returned to the United States military <br />control following termination of such status UNLESS OTHERWISE REVOKED OR TERMINATED BY ME. <br />1 HEREBY RATIFY ALL THAT MY ATTORNEY SHALL LAWFULLY DO OR CAUSE TO BE DONE <br />BY THIS DOCUMENT. <br />All business transacted hereunder for me or for my account shall be transacted in my name, and all endorsements <br />and instruments executed by my attorney for the purpose of carrying out the foregoing powers shall contain my <br />name, followed by that of my attorney and the designation "attorney -in- fact." <br />S.WHEREOF, I sign, seal, declare, publish, make and constitute this as and,for my_Power of Attorney <br />a <br />rie'�f>dtte Notary Public witnessing it at my request this date, <br />g .�" <br />�� r tr�>La ti4 <br />/ <br />IS Islist% 8 <br />FORCES OF THE UNITED STATES <br />Lb GsrAi 1S <br />Subscribed, sworn to and acknowledged before me by VSA ,y Bgl s , who is known 3o me to be a <br />member of the Armed Forces of the United States serving on Active Duty, on IQ O(i,iycsf 0201% This <br />acknowledgment is executed in my official capacity under the authority granted by Title 10, United States <br />Code, Section 1044a, w h also a no se. uired on this acknowledgment. <br />OFFICIAL CAPACITY 16 I. <br />Page 2 of 2 Pages <br />RE REc v ?nrn <br />• <br />2©1 <br />
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