Fill and Sign the Power Attorney Form 497335406

Form B11A 6/90 UNITED STATES BANKRUPTCY COURT       DISTRICT OF             DIVISION IN RE:       , Debtor Chapter                   Case Number:       GENERAL POWER OF ATTORNEY To       of *       , and       of *       . The undersigned claimant hereby authorizes you, or any one of you, as attorney in fact for the undersigned and with full power of substitution, to vote on any question that may be lawfully submitted to creditors of the debtor in the above- entitled case; [if appropriat e] to vote for a trustee of the estate of the debtor and for a committee of creditors; to receive dividends; and in general to perform any act not constituting the practice of law for the undersigned in all matters arising in this case. Dated:       Signed: By       as       Address:             [ If executed by an individua l] Acknowledged before me on       . [If executed on behalf of a partnershi p] Acknowledged before me on       , by       , who says that he [ or she] is a member of the partnership named above and is authorized to execute this power of attorney in its behalf. [If executed on behalf of a corporatio n] Acknowledged before me on       , by       , who says that he [ or she] is       of the corporation named above and is authorized to execute this power of attorney in its behalf.             [Official character.] * State mailing address. Source: http://www.uslegalforms.com