RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
NAME
STREET
ADDRESS
CITY, STATE &
ZIP CODE
_______________________________________________________________________________________________________________________________________
SPACE ABOVE THIS LINE FOR RECORDER’S USE
LIMITED POWER OF ATTORNEY
KNOW ALL PERSONS BY THESE PRESENTS: That I, ____________________________________________________________
______________________________________________________________________________________________, the undersigned
(jointly and severally if more than one, hereinafter collectively “principal”), hereby make, constitute and appoint
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
principal’s true and lawful attorney to act for principal and in principal’s name, place and stead and for principal’s use and benefit:
(a) To:
Principal hereby grants to said attorney in fact full power and authority to do and perform each and every act and thing which may be
necessary, or convenient, in connection with any of the foregoing, as fully, to all intents and purposes, as principal might or could do if
personally present, hereby ratifying and confirming all that said attorney in fact shall lawfully do or cause to be done by authority
hereof.
This Limited Power of Attorney is granted for a period of ____________________________________ and shall become effective on
___________________________________, and shall terminate on _________________________________.
Wherever the context so requires, the singular number includes the plural.
WITNESS my hand this _________ day of _______________________ _______________________________________
_______________________________________
STATE OF ______________________ }
COUNTY OF ____________________ }
On ____________________ before me, _______________________________________, a notary public, personally appeared
________________________________________________ who proved to me on the basis of satisfactory evidence to be the person(s)
whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their
authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the
person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.
WITNESS my hand and official seal.
____________________________________ (seal)
Signature
