Fill and Sign the I Name of Principal Form

NORTH CAROLINA LIMITED POWER OF ATTORNEY FOR REAL PROPERTY I, ________________________________________, (Name of Principal) name the following person as my agent: Name of Agent: ________________________________________ For purposes of this power of attorney, the "Property" is all of that real property located in ____________________ County, North Carolina, and known or identified as follows: GRANT OF AUTHORITY I grant my agent general authority to act for me with respect to the Property, all tangible personal property related to the Property, and all financial transactions relating to the Property. The authority granted to my agent pursuant to this power of attorney expressly includes the following: (1) The authority to act with respect to real property as set forth in Section 32C-2-204 of the North Carolina General Statutes; (2) The authority to act with respect to tangible personal property as set forth in Section 32C-2-205 of the North Carolina General Statutes; and (3) The authority to act with respect to banks and other financial institutions as set forth in Section 32C-2-208 of the North Carolina General Statutes. The authority granted to my agent pursuant to this power of attorney may be exercised by my agent even though the exercise of that authority may benefit the agent or a person to whom the agent owes an obligation of support. EFFECTIVE DATE; AUTOMATIC EXPIRATION This power of attorney is effective immediately. The authority of my agent to act on my behalf pursuant to this power of attorney will automatically expire on ____________________ (or, if
, within ninety (90) days of) this power of attorney being executed, except as provided herein. Effect of failure to execute; automatic lapse this power of attorney will expire if, the holder of this power of attorney, fails to execute this power of attorney on or before the expiration of the ninety-day period described above. No action for breach of contract, cause of action or other cause of action will lie nor will this power of attorney become void, if a person or entity named as agent on the face of this power of attorney does not execute his or her powers and duties under the power of attorney on or before the expiration of the ninety (90) day period. This power of attorney will expire if my agent fails to execute this power of attorney on or before the expiration of the ninety-day period set forth in section 32c-2-208 of the North Carolina general statutes. The expiration date set forth above will be effective on and after the expiration of ninety (90) days from the expiration of this power of attorney. No action for breach of contract, cause of action or other cause of action will lie nor will this power of attorney become void, if a person or entity named as agent on the face of this power of attorney does not execute his or her powers and duties by the expiration date set forth above. I understand and hereby consent and accept the terms of this power of attorney. Signature: date: signature of person or entity i authorize my agent to act for me in relation to property. The agent's principal is to be known as the owner of the property. There shall be no agent but the sole agent for this owner. The owner has the right of first refusal if the property is no longer being leased, sold, or otherwise offered for lease, sale, or exchange to anyone other than the owner for a term less than twenty-five (25) years. The owner's signature below is the agent's principal's signature. The owner's signature below is the agent's principal's signature and the owner's agent's signature, if different from the owner's signature. I, , of , state that is the owner of property located in, county, north carolina. I grant to my agent general authority to act for me with respect to the property, all tangible personal property related to the property, and all financial transactions relating.