Legal Authorized Rep Letter

LEGAL AUTHORIZED REPRESENTATIVE LETTER

Client Name:   Client Address:

Authorized Representative Name:   Representative Address:

Matter or Reference (if any):   Effective Date:

RECITALS

WHEREAS, the Client is the principal with authority to engage representatives and to authorize agents to act on the Client's behalf in legal, administrative, and business matters; and

WHEREAS, the Client desires to appoint the Authorized Representative named above to perform certain actions as set forth in this letter and the Representative is willing to accept such appointment on the terms set forth herein; and

WHEREAS, this appointment is intended to be limited in scope to the authorities expressly granted in this document unless otherwise agreed in writing by the Client.

NOW, THEREFORE, for and in consideration of the mutual covenants contained herein, the parties agree as follows:

1. APPOINTMENT

The Client hereby appoints the Authorized Representative as the Client's true and lawful authorized representative and attorney-in-fact, with authority to act on behalf of the Client to the extent and for the purposes specified in Section 2 below, subject to the limitations set forth in Section 3. This appointment is a limited power of attorney for the described purposes and does not confer any ownership interest in the Client's property.

2. SCOPE OF AUTHORITY

The Authorized Representative is authorized, on behalf of the Client, to take the following actions (check all that apply and specify additional details where requested):

Receive service of process and legal notices

Request, inspect, and obtain copies of Client records and documents

Execute, deliver, and file agreements, releases, consents, and other documents as necessary for the matter referenced above

Negotiate and settle claims, disputes, or demands on behalf of the Client

Appear at hearings, mediations, meetings, and conferences

3. LIMITATIONS AND PROHIBITED ACTIONS

The Representative shall not: (a) transfer, pledge, or encumber the Client's real property or title interests; (b) make gifts, amendments to the Client's estate planning documents, or testamentary dispositions; (c) make unilateral changes to the Client's authorized banking or investment signatories except as expressly authorized in writing by the Client; or (d) undertake any action expressly excluded in this section.

4. TERM; REVOCATION

This appointment is effective as of the Effective Date set forth above and shall continue until: (select one)

A specified termination date:

Until revoked in writing by the Client

Revocation shall be effective upon receipt of written notice by the Authorized Representative at the Representative's address set forth above or at such other address as the Representative may designate in writing. Notice of revocation shall be sent to the addresses specified in Section 7.

5. REPRESENTATIONS AND WARRANTIES

The Client represents and warrants that: (a) the Client has full power and authority to grant the appointment and to perform the obligations described herein; (b) no proceeding known to the Client exists that would revoke, limit, or impair the Client's authority to grant this appointment; and (c) any actions taken by the Representative within the scope of this appointment when executed in accordance with this document shall be binding upon the Client.

6. INDEMNIFICATION

The Client shall indemnify and hold harmless the Authorized Representative from and against any and all claims, liabilities, losses, damages, costs, and expenses (including reasonable attorneys' fees) arising from actions taken in good faith by the Representative within the scope of authority granted herein. The Representative shall not be liable for any loss resulting from reliance on documents or information reasonably believed to be genuine.

7. NOTICES

All notices, demands, or other communications required or permitted under this Letter shall be in writing and shall be delivered personally, by certified mail (return receipt requested), or by overnight courier to the addresses set forth below or to such other address as a party may designate in writing.

8. GOVERNING LAW; MISCELLANEOUS

This Letter shall be governed by and construed in accordance with the laws of the state of without regard to its conflict of laws principles. The parties agree that any dispute arising out of or relating to this Letter shall be resolved in the courts located within that state unless the parties mutually agree otherwise in writing.

Entire Agreement: This Letter contains the entire agreement of the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, understandings, and communications, written or oral, relating thereto.

Severability: If any provision of this Letter is held to be invalid, illegal, or unenforceable in any respect, the validity, legality, and enforceability of the remaining provisions shall not be affected or impaired.

Amendments and Waiver: This Letter may be amended only by a written instrument signed by both parties. No waiver of any provision shall be effective unless made in writing and signed by the party to be bound.

Counterparts: This Letter may be executed in counterparts, each of which shall be deemed an original and all of which together shall constitute one and the same instrument. Facsimile or electronic signatures shall be treated as original signatures for all purposes.

CERTIFICATION

By signing below, the undersigned certify that they are duly authorized to execute this Letter on behalf of the party for which they sign, that the information herein is true and correct, and that this appointment is made voluntarily and in accordance with all applicable laws and corporate or organizational governance requirements.

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