Official Form 411B (12/18) United States Bankruptcy Court Di s tr i c t O f I n r e Cas e No . Debtor Chapte r SPECIAL 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 [if desired: and with full power of substitution,] to attend the meeting of creditors of the debtor or any adjournment thereof, and to vote in my behalf on any question that may be lawfully submitted to creditors at such meeting or adjourned meeting, and for a trustee or trustees of the estate of the debtor. 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