Fill and Sign the State Zip Principal Have Made Constituted and Appointed and by These Form

Prepared by, recording requested by and return to: ----------------------Above this Line for Official Use Only --------------------- Name: Company: Address: City: State: Zip: Phone: Fax: The information above is provided in the event this form is to be recorded. SPECIAL POWER OF ATTORNEY FOR CLOSING REAL ESTATE TRANSACTION (Agent for Purchaser) STATE of LOUISIANA PARISH OF ____________ KNOW ALL MEN BY THESE PRESENT, THAT I _____________________, whose address is __________________, __________________ (City), __________________ (State), __________ (Zip) “Principal”, have made, constituted and appointed, and by these presents do, make, constitute and appoint, _______________________ my true and lawful attorney in fact to act with the following limited powers, to wit: To do all things necessary to close on the purchase of the property described below, commonly known as ___________________________________ (address), with full power and authority for me and in my name to sign, seal, execute, acknowledge, and deliver and accept any and all documents necessary to effect the purchase and settlement on said property from the owner thereof, including but not limited to, sales contracts and addendum thereto, negotiable instruments, deeds, deeds of trust, or other instruments, disclosure statements, closing or settlement statements, etc. FURTHER GRANTING full power and authority to pay any funds for the purchase and the execution of any and all documents in connection therewith, including, but not limited to notes, deeds of trust or mortgages. The legal description of the property is as follows, to-wit: I hereby ratify and confirm all that said attorney-in-fact shall lawfully do or cause to be done by virtue of this Power of Attorney and the rights and powers herein granted. All acts done by means of this power shall be done in my name, and all instruments and documents executed by my Attorney hereunder shall contain my name, followed by that of my attorney and the description "Attorney- in-Fact", excepting however any situation where local practice differs from the procedure set forth herein, in that event local practice may be fol lowed. This SPECIAL POWER OF ATTORNEY shall be valid and may be relied upon by any third parties until such time as any revocation is recorded in the recorder's office of the county where the land is located. IN WITNESS WHEREOF, I have hereunto set my hand and seal this t he _____ day of ________________, 20____ . ______________________________________________ PRINCIPAL Print Name: Address : City, State, Zip: ATTESTATION The hereinafter named Witnesses, each declare under penalty of perjury under the laws of the State of Louisiana, that the principal is personally known to us, that the principal signed and acknowledged this limited power of attorney in our presence, that the principa l appears to be of sound mind and under no duress, fraud or undue influence, that we are not the person appointed as attorney- in-fact by this document and that we witnessed this power of attorney in the presence of the principal. We are not related to the principal by blood, marriage or adopti on, and to the best of our knowledge, are not entitled to any part of the estate of the pri ncipal upon the death of the principal under a will now existing or by operation of law. WITNESSES: ______________________________ Signature Print Name: __________________________ Address: _____________________________ City: ________________ State: ___________ Zip: __________ WITNESSES: ______________________________ Signature Print Name: ___________________________ Address: ______________________________ City: ________________ State: ___________ Zip: __________ STATE OF LOUISIANA PARISH OF On this day of , , before me personally appeared , to me known to be the person (or persons) described in and who executed the foregoing instrument, and acknowledged that (he/she) executed it as (his/her) free act and deed. WITNESS my hand and official seal. ____________________________________ Notary Public Print Name My commission expires: