Affidavit By Attorney In Fact Of Nontermination Or Nonrevocation
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Affidavit By Attorney In Fact Of Nontermination Or Nonrevocation Form. This is a Minnesota form and can be use in Department Of Commerce Statewide.
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Tags: Affidavit By Attorney In Fact Of Nontermination Or Nonrevocation, 100.2.1, Minnesota Statewide, Department Of Commerce
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AFFIDAVIT BY ATTORNEY-IN-FACT
of nontermination or nonrevocation
Minn. Stat. 523.17, subd. 1
Minnesota Uniform Conveyancing Blanks
Form 100.2.1 (2011)
State of Minnesota, County of
, being first duly sworn,
on oath says:
1. Affiant is the Attorney-in-Fact (or agent) named in that certain Power of Attorney dated
for record on
, as Document Number
(or in Book
, and filed
of
(month/day/year)
Page
), in the Office of the
County Recorder
Registrar of Titles of
County, Minnesota,
(check the applicable boxes)
executed by
relating to real property in
, as Grantor and Principal,
County, Minnesota, legally described as follows:
Check here if all or part of the described real property is Registered (Torrens)
2. Affiant does not have actual knowledge and has not received actual notice of the revocation or termination of the Power of Attorney by
Grantor’s death, incapacity, incompetence or otherwise, or notice of any facts indicating the same.
3. Affiant has examined the legal description(s), if any, attached to the Power of Attorney and certifies that the description(s) has(have)
not been changed, replaced, or amended subsequent to the signing of the Power of Attorney by the Principal.
Note: Remainder of page left blank, signature page follows.
(v2)
Page 1 of 2
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Minnesota Uniform Conveyancing Blanks Form 100.2.1
Page 2 of 2 (v2)
Affiant
(signature)
, by
Signed and sworn to before me on
(month/day/year)
(insert name of person making statement)
.
(Stamp)
(signature of notarial officer)
Title (and Rank):
My commission expires:
(month/day/year)
THIS INSTRUMENT WAS DRAFTED BY:
(insert name and address)
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