Fill and Sign the Special Power Attorney 497429660 Form

When recorded return to: SPECIAL POWER OF ATTORNEY (SALE) I __________________________________________________________________________ hereby appoint ______________________________________________________________________________ as my true and lawful attorney for me and in my name and stead and for my use and benefit to bargain, sell, contract to convey, or convey any and all right, title, interest in and to the following described real property: Abbreviated Legal: (Required if full legal not inserted above. ) Tax Parcel Number(s): Together with any personal property located thereon. Giving and granting unto my said attorney in fact full authority and power to do and perform any and all other acts necessary or incident to the performance and execution of the powers herein expressly granted with power to do and perform all acts authorized hereby; as fully to all intents and purposes as the Grantor(s) might or could do if personally present. This Special Power of Attorney will cease and be of no further effect after the _____________ day of _______________________________, or six (6) months from the date hereof, whichever first occurs. WARNING: This power of attorney will result in another person having full right to sell your property. It is recommended that you obtain counsel from your attorney prior to execution of this document. LPB70-05 Page 1 of 2 Dated: ___________________________________________ ___________________________________________ STATE OF ss. COUNTY OF I certify that I know or have satisfactory evidence that (is/are) the person(s) who appeared before me, and said person(s) acknowledged that signed this instrument and acknowledged it to be free and voluntary act for the uses and purposes mentioned in this instrument.. Dated: Notary name printed or typed: Notary Public in and for the State of Residing at My appointment expires: LPB70-05 Page 2 of 2