Anthony J. Dattilio Columbiana County Clerk of Courts Power of Attorney (Please Note: Your signature MUST be notarized.) Know All Men by These Presents, that the under signed does hereby make, constitute and appoint: Name Address My true and lawful attorney-in-fact for me and in my name, place and stead, to make and execute the assignment of or application for my Certificate of Title covering the following described motor vehicle, to wit: Make Y ear Serial number And granting to my said attorney-in-fact full authority to do and perform all and every act and thing whatsoever, req- uisite, necessary and proper to be done in and about the premises as fully and to all intents and purposes as the undersigned might or could do with full power of substitution and revocation hereby ratifying and confirming all that said attorney or his substitute shall lawfully do or cause to be done by virtue hereof. In Witness Whereof, the undersigned has caus ed his name to be subscribed hereto this day of 20 Social Security no. of person giving Si gnature of person giving power of attorney power of attorney Acknowledgment Before me a Notary Public in and for County, State of Ohio, personally appeared , who acknowledged the signing of the foregoing instrument and that such signing is his free act and deed. In Testimony Whereof, I have hereunto set my hand and affixed my official seal this day of 20 (seal) Notary Publics Signature County, Ohio My Commission expires: American LegalNet, Inc. www.USCourtForms.com