Power Of Attorney (Consumer) Form Page 2

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Power of Attorney (Consumer)
Notary
If this Power of Attorney is signed within the United States or Puerto Rico, it must be acknowledged before a Notary Public. If signed elsewhere, it may be acknowledged
before a Consul or Vice–Consul of the United States, or before any official authorized to take acknowledgements and then submitted to a Consul for validation.
STATE OF
STATE OF
COUNTY OF
COUNTY OF
On the _____ day of ____________________, __________ (year) , before me personally
On the _____ day of ____________________, __________ (year) , before me personally
came________________________________________________________________, to
came________________________________________________________________, to
me known to be the person described in, and who executed the foregoing instrument, and
me known to be the person described in, and who executed the foregoing instrument, and
acknowledged that he/she executed the same.
acknowledged that he/she executed the same.
Signature __________________________________ (Seal)
Signature ____________________________________ (Seal)
Revocation of Earlier Powers
I wish all earlier powers of Attorney given by me to the Bank to continue in effect except the following, which I now revoke:
Name of Attorney-in-Fact
Name of Attorney-in-Fact
Signature of Principal
Date
Signature of Principal
Date
NFC0428P - FL
09/2015

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