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Ethiopia power attorney form 3506 INTERNATIONAL DR NW WASHINGTON DC 20008 TELE 202 364 1200 WKL m yqE QA EMBASSY OF ETHIOPIA CONSULAR OFFICE PASSPORT AND VISA SERVICES POWER OF ATTORNEY REQUEST FORM PLEASE TYPE OR PRINT YOUR ANSWER IN THE SPACE PROVIDED BELOW FAILURE TO PRINT CLEARLY MAY DELAY YOUR APPLICATION. X K lX N N WKL snD xN ND QA Y l PLEASE FILLOUT THIS FORM FOR EACH DOCUMENT. bWKL sn Y kxND b Y w Y l bQ Y ymjm W w Y tA l l c w C t w Y / l/ b lW sN ri Y mr WN Y l. IF THERE IS MORE THAN ONE PRINCIPAL PLEASE FILL THE SPACE UNDER THE TITLE FOR ADDITIONAL PRINCIPALS IF ANY 1 WKL ys W GlsB/DRJT mr /PRINCIPAL INFORMATION/ yw Y l SM / FOR AN INDIVIDUAL / 1. 1. TITLE/PREFIX 1. 2. FIRST NAME 1. 3. MIDDLE NAME 1. 5. NATIONALITY 1. 4. LAST NAME 1. 6. ETHIOPIAN PASSPORT /ETHIOPIAN ORIGIN ID NUMBER IF APPLICABLE WKL ys W bDRJT SM k n /FOR A COMPANY / 1. 7. COMPANY NAME 1. 8. CONTACT PERSON IF APPLICABLE DON NOT WRITE IN THIS SPACE FOR OFFICIAL USE ONLY /ADDRESS / 2. 1. ADDRESS STREET NUMBER NAME AND APT 2. 2. COUNTRY 2. 3. STATE SERVICE DATE 2. 4. CITY 2. 6. DAYTIME PHONE 2. 5. ZIP CODE REF* NUMBER 2. 7. EVENING PHONE FEE PAID 2. 8. E-MAIL RECEIPT NO 3 yx jNs mr WKL W bx jNs bk L km /AGENCY INFORMATION IF APPLICATION IS PRESENTED THROUGH AN AGENCY 3. 1. AGENCY NAME 4 t w Y / l/ FOR ADDITIONAL PRINCIPALS NO NAME 3. 3. TELEPHONE IF ANY ETHIOPIAN PASSPORT /ETHIOPIAN ORIGIN ID NUMBER IF APPLICABLE I CERTIFY THAT THE ABOVE INFORMATION IS CORRECT AND TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF* PREPARED NAME SIGNATURE DATE. bWKL sn Y kxND b Y w Y l bQ Y ymjm W w Y tA l l c w C t w Y / l/ b lW sN ri Y mr WN Y l. IF THERE IS MORE THAN ONE PRINCIPAL PLEASE FILL THE SPACE UNDER THE TITLE FOR ADDITIONAL PRINCIPALS IF ANY 1 WKL ys W GlsB/DRJT mr /PRINCIPAL INFORMATION/ yw Y l SM / FOR AN INDIVIDUAL / 1. 1. TITLE/PREFIX 1. 2. FIRST NAME 1. 3. MIDDLE NAME 1. 5. NATIONALITY 1. 4. LAST NAME 1. 6. ETHIOPIAN PASSPORT /ETHIOPIAN ORIGIN ID NUMBER IF APPLICABLE WKL ys W bDRJT SM k n /FOR A COMPANY / 1. 1. TITLE/PREFIX 1. 2. FIRST NAME 1. 3. MIDDLE NAME 1. 5. NATIONALITY 1. 4. LAST NAME 1. 6. ETHIOPIAN PASSPORT /ETHIOPIAN ORIGIN ID NUMBER IF APPLICABLE WKL ys W bDRJT SM k n /FOR A COMPANY / 1. 7. COMPANY NAME 1. 8. CONTACT PERSON IF APPLICABLE DON NOT WRITE IN THIS SPACE FOR OFFICIAL USE ONLY /ADDRESS / 2. 7. COMPANY NAME 1. 8. CONTACT PERSON IF APPLICABLE DON NOT WRITE IN THIS SPACE FOR OFFICIAL USE ONLY /ADDRESS / 2. 1. ADDRESS STREET NUMBER NAME AND APT 2. 2. COUNTRY 2. 3. STATE SERVICE DATE 2. 4. CITY 2. 6. DAYTIME PHONE 2. 1. ADDRESS STREET NUMBER NAME AND APT 2. 2. COUNTRY 2. 3. STATE SERVICE DATE 2. 4. CITY 2. 6. DAYTIME PHONE 2. 5. ZIP CODE REF* NUMBER 2. 7. EVENING PHONE FEE PAID 2. 8. E-MAIL RECEIPT NO 3 yx jNs mr WKL W bx jNs bk L km /AGENCY INFORMATION IF APPLICATION IS PRESENTED THROUGH AN AGENCY 3. 5. ZIP CODE REF* NUMBER 2. 7. EVENING PHONE FEE PAID 2. 8. E-MAIL RECEIPT NO 3 yx jNs mr WKL W bx jNs bk L km /AGENCY INFORMATION IF APPLICATION IS PRESENTED THROUGH AN AGENCY 3. 1. AGENCY NAME 4 t w Y / l/ FOR ADDITIONAL PRINCIPALS NO NAME 3. 3. TELEPHONE IF ANY ETHIOPIAN PASSPORT /ETHIOPIAN ORIGIN ID NUMBER IF APPLICABLE I CERTIFY THAT THE ABOVE INFORMATION IS CORRECT AND TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF* PREPARED NAME SIGNATURE DATE.

Using the dea power of attorne... Using the DEA Power of Attorney Form. In most cases of a planned absence by the Unit Registrant, controlled substances can be ordered prior to departure.

Calpers power of attorney form Also if you are concerned with the Warning statement or the extent of the authority being granted by the CalPERS Special Power of Attorney form we again urge you to consult with an attorney. The determination of whether I am Name or Title of Person to Make the Determination This special general power of attorney is to terminate in its entirety if I become incapacitated. Agent is the Notice to Person Executing Durable Power of Attorney The authori...

Tx custody form NOTICE OF CONFIDENTIALITY RIGHTS: IF YOU ARE A NATURAL PERSON, YOU MAY REMOVE OR STRIKE ANY OF THE FOLLOWING INFORMATION FROM THIS INSTRUMENT BEFORE IT IS FILED FOR RECORD IN THE PUBLIC RECORDS: YOUR

Power of attorney form giving... POWER OF ATTORNEY: CARE AND CUSTODY OF CHILD OR CHILDREN KNOW ALL MEN BY THESE PRESENTS: That the undersigned, , parent(s) of the child(ren) identified below, residing at hereby make, constitute and

Power of attorney form utah LIMITED POWER OF ATTORNEY FOR SALE OF MOTOR VEHICLE To authorize another to sign bill of sale, title and other documents. State of Utah County of KNOW ALL PERSONS BY THESE PRESENTS, THAT I/We , whose

Texas limited power of attorne... Prepared by, recording requested by and return to: Name: Company: Address: City: State: Phone: Fax: Zip: ----------------------Above this Line for Official Use Only--------------------- NOTICE OF

Form for power of attorney ga FINANCIAL POWER OF ATTORNEY (Georgia Code 10-6-140 et seq.) County of State of Georgia I, County, (hereinafter Georgia, 'Principal'), do hereby a constitute resident and of appoint my true

Limited power of attorney tenn... Prepared by recording requested by and return to Name Company Address City State Zip Phone Fax Property Owner s Deed Number Office Where Recorded Book and Page Number ----------------------Above this Line for Official Use Only--------------------- SPECIAL POWER OF ATTORNEY FOR CLOSING REAL ESTATE TRANSACTION Agent for Purchaser STATE OF TENNESSEE COUNTY OF KNOW ALL MEN BY THESE PRESENT THAT I whose address is City State Zip and currently residing in POWER OF ATTORNEY hereby appoint of GRANTING unto my Attorney-in-Fact full power to To do all things necessary to close on the purchase of the property described below commonly known as 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 INSERT DESCRIPTION OR ATTACH EXHIBIT 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 followed* 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* DATED this the day of 20. Signature Print Name On this day of 20 before me personally appeared to me known to be the person or persons described in and who executed the foregoing instrument and acknowledged that such person or persons executed the same as such person or person s free act and deed* Commission Expires Notary Public Principal Name and Address Attorney-in-Fact Name and Address. The legal description of the property is as follows to-wit INSERT DESCRIPTION OR ATTACH EXHIBIT 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 followed* 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* DATED this the day of 20. Signature Print Name On this day of 20 before me personally appeared to me known to be the person or persons described in and who executed the foregoing instrument and acknowledged that such person or persons executed the same as such person or person s free act and deed* Commission Expires Notary Public Principal Name and Address Attorney-in-Fact Name and Address.

North dakota revocation of gen... REVOCATION OF POWER OF ATTORNEY I, , Declarant, having executed a General Durable Power of Attorney on the day of , 20 , naming my attorney-in-fact/agent, do hereby revoke that Power of Attorney pursuant

Az revocation form REVOCATION OF POWER OF ATTORNEY I, , Declarant, having executed a General Durable Power of Attorney on the day of , 20 , naming my attorney-in-fact/agent, do hereby revoke that Power of Attorney pursuant

New york special durable power... SPECIAL DURABLE POWER OF ATTORNEY FOR BANK ACCOUNT MATTERS CAUTION TO THE PRINCIPAL: YOUR POWER OF ATTORNEY IS AN IMPORTANT DOCUMENT. AS THE 'PRINCIPAL,' YOU GIVE THE PERSON WHOM YOU CHOOSE

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