Fill and Sign the Whose Address is Form

Prepared by, recording requested by and return to: Name: _____________________ Company: _____________________ Address: _____________________ City: _____________________ State: _______ Zip: _______ Phone: _____________________ Fax: _____________________ ----------------------Above this Line for Official Use Only--------------------- The information above is provided in the event this form is to be recorded. LIMITED POWER OF ATTORNEY STATE of MICHIGANCOUNTY 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: Insert powers here. See examples at the end of this form______________________________________________________________________________________________________________________________________________________________________________ FURTHER, I do authorize my aforesaid attorney-in-fact to execute, acknowledge and deliver any instrument under seal or otherwise, and to do all things necessary to carry out the intent hereof, hereby granting unto my said attorney-in-fact full power and authority to act in and concerning the premises as fully and effectually as I may do if personally present, limited, however, to the purpose for which this limited power of attorney is executed. PROVIDED, however, that all business transacted hereunder for me or for my account shall be transacted in my name, and that all endorsements and instruments executed by my said attorney-in-fact for the purpose of carrying out the foregoing powers shall contain my name, followe
By my proper place of practice. Any change in the nature, form and capacity of the business contemplated by these powers of attorney shall be in writing and filed herewith, with the seal of the county wherein I shall be holding office at the time. I furthermore do hereby authorize my said attorney-in-fact, if requested, to administer oaths and take acknowledgments for the accuracy thereof, and to make such other acknowledgments as may be required. I hereby authorize my said attorney-in-fact, if desired, to submit such documents or documents bearing thereon any seal or official seal of the county wherein I shall be holding office as documents and copies thereof for the use of myself and my successors, in any action or proceedings brought upon the same. Provided, further, that nothing herein contained shall be construed to authorize my said attorney-in-fact, if requested, to file a bond or other financial security with the court. No money of the attorney-in-fact or of any person appearing for or representing me in a matter arising under this power of attorney shall ever be held or delivered by him but in the hands of my attorney, under his hand and seal, and all such documents and papers heretofore filed in connection with this power of attorney, and all such bonds and other financial security, shall be paid for and accounted for by my attorney as set forth in the above agreement, and any other matters so necessary for the proper accomplishment of the above described objects shall be submitted for my information and my approval to my attorney. Provided, however, in all cases any funds or funds held for my use by one attorney under this power of attorney, when that attorney is otherwise qualified to assume responsibility for them and such funds are not held by another attorney, shall be held by my attorney for safe keeping and for the purpose of paying such attorney's expenses, to be expended only under the direction and supervision of my attorney, and in such instances I do hereby agree that for the use and benefit of my attorney, such sums so held shall be subject to the lawful control and direction of my attorney for the time being with full authority to invest such funds. I further agree as to all trusts or other arrangements or agreements made or to be made by my said attorney, and all trusts or agreements made or to be made by any other persons entitled to the beneficial interest of my said attorney and made either for my benefit or his benefit without consent of my said attorney, that I do so know and approve, and i do hereby agree that my said.