Prepared By: __________________________ ______________________________________ ______________________________________ POWER OF ATTORNEY Know All Men By These Premises That __________________________________________, has/have made, constituted and appointed, and by these presents do make, constitute and appoint ____________________________________ Attorney for _______ and in _________ name, place and stead Giving and granting unto ____________________________________________________________ Said Attorney full power and authority to do and perform all and every act and thing whatsoever requisite and necessary to be done in and about the premises and fully, to all intents and purposes, as I/we might or could do if personally present, with full power of substitution and revocation, hereby ratifying and confirming all that ________________________________________ said Attorney or substitute shall lawfully do or cause to be done by virtue hereof. In Witness Whereof, ______ have hereunto set _______ hand and seal the ______ day of ___________________________, 20_____. _____________________________________ Witness Signature _________________________________ Signature _____________________________________ Printed Name __________________________________ Printed Name _____________________________________ Witness Signature __________________________________ Post Office Address _____________________________________ Printed Name __________________________________ _____________________________________ Witness Signature __________________________________ Signature _____________________________________ Printed Name __________________________________ Printed Name _____________________________________ Witness Signature _________________________________ Post Office Address _____________________________________ Printed Name __________________________________ STATE OF FLORIDA COUNTY OF LEON The foregoing instrument was acknowledged before me this _____ day of ____________________, 20_____, by _______________________________________________________, who is personally known to me or has produced ________________________________________ as identification and who did/did not take an oath. BOB INZER, CLERK CIRCUIT COURT ___________________________________________ Signature of Notary/Deputy Clerk ___________________________________________ Printed Name American LegalNet, Inc. www.FormsWorkFlow.com