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Fill and Sign the Affidavit by Attorney in Fact Nontermination or Nonrevocation in Support of Real Property Transaction Ucbc Form 10021 Minnesota

Fill and Sign the Affidavit by Attorney in Fact Nontermination or Nonrevocation in Support of Real Property Transaction Ucbc Form 10021 Minnesota

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FORM No. 63  -M - Uniform Conveyancing Blanks AFFIDAVIT BY ATTORNEY IN FACT (reserved for recording data) AFFIDAVIT BY ATTORNEY IN FACT--NONTERMINATION OR NONREVOCATIONIN SUPPORT OF A REAL PROPERTY TRANSACTION STATE OF MINNESOTA ) ) ss. COUNTY OF ____________ ) _____________________________________________, being duly sworn on oath, says: 1. Afant is the Attorney-in-Fact (or agent) named in that certain Power of Attorney dated ______________, 20 _____, and fled for record ____________, 20 _____, as Document No. ______________ (or in Book ________ of __________ Page _____), in the Ofce of the (County Recorder)(Registrar of Titles) of _________________ County, Minnesota, executed by _________________, as Grantor and Principal, relating to real property in ___________ County, Minnesota, legally described as follows: (If more space is needed, continue on back or on an attachment.) 2. Afant does not have actual knowledge and has not received actual notice of the revocation or termination of the Power of Attorney by Grantor's death, incapacity, incompetence or otherwise, or notice of any facts indicating the same. 3. Afant has examined the legal description(s), if any, attached to the Power of Attorney and certifes that to the best of Afant's actual knowledge the description(s) has (have) not been changed replaced or amended since the signing of the Power of Attorney by the Principal. - 1 - FORM No. 63  -M - Uniform Conveyancing Blanks __________________________________ Subscribed and sworn to before me this ________ day of __________, 20 _____. ______________________________________________ SIGNATURE OF NOTARY PUBLIC OR OTHER OFFICIAL THIS INSTRUMENT WAS DRAFTED BY (NAME AND ADDRESS): NOTARIAL STAMP OR SEAL (OR OTHER TITLE OR RANK): - 2 -

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