Official Form 411A (12/18) United States Bankruptcy Court Di s tr i c t O f I n r e Cas e No . Debtor Chapte r GENERAL POWER O F ATTORNEY T o of * , and of * . The undersigned claimant hereby authorizes you, or any one of you, as attorney in fact for the undersigned and with full power of substitution, to vote on any question that may be lawfully submitted to creditors of the debtor in the above-entitled case; [if appropriate] to vote for a trustee of the estate of the debtor and for a committee of creditors; to receive dividends; and in general to perform any act not constituting the practice of law for the undersigned in all matters arising in this case. Dated: Signed: By: as Address: [ I f exe c ute d b y a n indi v idua l ] Acknowledg e d befor e m e o n . [ I f exe c ute d o n behal f o f a partnershi p ] Acknowledg e d befor e m e o n , by who says that he [ o r she ] i s a membe r o f th e partn e rshi p nam e d above an d i s author i ze d t o exe c ut e thi s pow e r of attorney in its behalf. [ I f exe c ute d o n behal f o f a corporation ] Acknowledg e d befor e m e o n , by who says that he [ o r she ] i s o f th e corporation nam e d above an d i s author i ze d t o exe c ut e thi s pow e r of attorney in its behalf. [ Official character. ] * State mailing address. American LegalNet, Inc. www.FormsWorkFlow.com