RESIGNATION OF AGENT
I, _________________________, of address ______________________________, city of
____________________, County of _______________, State of _______________, hereby resign
as agent under the _______________ Power of Attorney created by _________________________
and dated ____________________.
My resignation is effective on ____________________.
Date: ________________________
____________________________________
Signature of Agent
State of _______________
County of _______________
The foregoing instrument was acknowledged before me this _____ day of __________, 20____,
by ______________________________.
_________________________
____________________
Notary Public Signature
My commission expires:
(Notary Seal)