Limited Power Of Attorney Form - State Of California
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1RECORDING REQUESTED BY
AND WHEN RECORDED MAIL TO:
NAME
S
R
U
PAGE
SIZE
DA
MISC
LONG
RFD
COPY
STREET
ADDRESS
EXAM
M
A
L
465
426
PCOR
NCOR
SMF
NCHG
CITY, STATE &
ZIP CODE
T:
CTY
UNI
SPACE ABOVE THIS LINE FOR RECORDER’S USE ONLY
LIMITED POWER OF ATTORNEY
KNOW ALL PERSONS BY THESE PRESENTS: That I,___________________________________________________________,
the undersigned (jointly and severally if more than one, hereinafter collectively “principal”), hereby make, constitute and appoint
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
principal’s true and lawful attorney to act for principal and in principal’s name, place and stead and for principal’s use and benefit:
(a)
To
Principal hereby grants to said attorney in fact full power and authority to do and perform each and every act and thing which may be
necessary, or convenient, in connection with any of the foregoing, as fully, to all intents and purposes, as principal might or could do if
personally present, hereby ratifying and confirming all that our said attorney in fact shall lawfully do or cause to be done by authority
hereof.
This Limited Power of Attorney is granted for a period of ______________________________ and shall become effective
on ________________________, __________ and shall terminate on _______________________, __________.
Wherever the context so requires, the singular number includes the plural.
WITNESS my hand this ______ day of _____________________, ________.
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
A notary public or other officer completing this certificate
verifies only the identity of the individual who signed the
document to which this certificate is attached, and not the
truthfulness, accuracy, or validity of that document.
STATE OF CALIFORNIA
}
COUNTY OF ________________________ }
On ____________________ before me, ________________________________________________________, personally appeared
(here insert name and title of the officer)
_________________________________________________________________________________________
,
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument
and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their
signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.
WITNESS my hand and official seal.
______________________________________
SIGNATURE
(SEAL)
Before you use this form, fill in all blanks, and make whatever changes are appropriate and necessary to your particular transaction. Consult a lawyer if
you doubt the form’s fitness for your purpose and use.
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