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Back to Forms for 'Power of Attorney'.


AUTHORIZATION CARD FOR ATTORNEY

AUTHORIZATION CARD FOR ATTORNEY

TO SIGN SIGNATURE OF DEPOSITOR

 

 

__________________ (depositor), the undersigned, of __________________________

______________________________ (address), hereby authorizes _________________ (attorney), of ___________________________________________________ (address), to sign and endorse checks, drafts, and notes and to accept drafts as attorney for the undersigned.  The undersigned shall indemnify _______________________ (bank), located at _____________________________________________________ (address), against any loss suffered as a result of acting on this power without notice of its revocation.

 

Dated: ______________________

 

 

____________________________

(Signature of Depositor)

 

 

____________________________

(Signature of Attorney)

 

 



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