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Wells fargo power of attorney... Choose one E stablish the Power of Attorney designation on all of my Wells Fargo Advantage Funds accounts nonretirement and retirement. Click here to clear form Power of Attorney POA Complete this form to designate an individual as attorney-in-fact for your Wells Fargo Advantage Funds account s. I agree this Power of Attorney is governed by applicable California law. I for myself and my heirs executors legal representatives and assigns hereby agree to indemnify and hold harmless Wells Fargo Funds Management LLC the transfer agent for Wells Fargo Advantage Funds and any and all affiliated or nonaffiliated third parties from and against any and all claims that may arise against such third party by reason of any action or inaction by such third party having relied on this Power of Attorney and to pay such third party promptly on demand for any and all losses arising out of any act by agent under this Power of Attorney. The Power of Attorney is important to you. If you do not understand the Power of Attorney or any provision of it you should obtain the assistance of an attorney or other qualified person. Account Owner s Agreement I understand that this Power of Attorney designation shall replace any previous Power of Attorney designation I have made for the Wells Fargo Advantage Funds account s indicated in section 1 of this form. I agree that any third party may act under this Power of Attorney whether durable or nondurable without further inquiry or investigation and regardless of the date of such authorization. I hereby ratify and confirm any and all transactions heretofore and hereafter made by the agent pursuant to this Power of Attorney for my account s. An attorney-in-fact cannot be designated on custodial estate or guardianship accounts. If you have questions call 1-800-222-8222 24 hours a day 7 days a week. P. O. Box 8266 Boston Massachusetts 02266 www. wellsfargo. com/advantagefunds A C C O U N T I N F O R M AT I O N P L E A S E P R I N T Name of account owner or trustee first middle initial last Social Security number Name of joint account owner or co-trustee first middle initial last Name of trust if applicable Trust accounts Enclose a copy of the title page and the section of the trust document that allows for the appointment of an agent. Fund and account number T Y P E O F P O W E R O F AT T O R N E Y A N D D E S I G N AT I O N O F AT T O R N E Y - I N - FA C T This Power of Attorney is choose one D urable Power of Attorney will continue even if you become incapacitated* N ondurable Power of Attorney will terminate at such time as we receive actual notice of your incapacitation* I Name of attorney-in-fact hereby appoint hereinafter referred to as agent to act for me as my agent and attorney-in-fact for the account s defined as the accounts designated in section 1 of this form* The account s may include retirement accounts such as an IRA Qualified Retirement Plan QRP and/or SEP IRA collectively referred to as retirement accounts. By having my signature notarized in section 3 of this form I authorize the agent to act for me and on my behalf in the same manner and with the same force and effect as if I were acting with respect to such transactions as set forth below and all things necessary or incidental thereto Inquire about buy acquire sell redeem exchange assign or otherwise transfer to dispose of mutual fund shares change my dividend and distribution options direct and receive disbursements regardless of the tax consequences of such a disbursement and exercise any and all investment powers available under my account s Continued on next page.

Ohio bmv 5736 form 2016 2019 THESE PENALTIES ARE IN ADDITION TO ANY FINES OR PENALTIES IMPOSED BY A COURT OF LAW. WARNING THESE LAWS DO NOT PREVENT THE POSSIBILITY THAT YOU MAY BE INVOLVED IN AN ACCIDENT WITH A PERSON WHO HAS NO INSURANCE OR OTHER FR COVERAGE. WHEN REQUIRED PROOF OF COVERAGE MAY BE SHOWN BY ANY OF THE FOLLOWING AN INSURANCE POLICY showing automobile liability insurance of at least 25 000 bodily injury per person 50 000 injury two or more persons and 25 000 property damage AN INSURANCE IDENTIFICATION CARD same coverage A SURETY BOND OF 30 000 issued by any authorized surety company or insurance company A BMV BOND SECURED BY REAL ESTATE having equity of at least 60 000 A BMV CERTIFICATE FOR MONEY OR GOVERNMENT BONDS in the amount of 30 000 on deposit with the Ohio Treasurer of State A BMV CERTIFICATE OF SELF-INSURANCE available only to companies or persons who own at least twenty-six motor vehicles. DETACH BOTTOM PORTION FOR YOUR RECORDS THIS COMPLETED FORM MUST BE ATTACHED TO THE BMV APPLICATION additional offenses Lose his or her license plates and vehicle registration Pay reinstatement fees of 100. DETACH BOTTOM PORTION FOR YOUR RECORDS THIS COMPLETED FORM MUST BE ATTACHED TO THE BMV APPLICATION additional offenses Lose his or her license plates and vehicle registration Pay reinstatement fees of 100. 00 for first offense 300. 00 for second offense 600. 00 for third and subsequent offenses Pay a 50. 00 penalty for any failure to surrender his or her driver license license plates or registration AND Be required to maintain special FR coverage High-risk insurance or equivalent on file with the Bureau of Motor Vehicles BMV for THREE or FIVE YEARS. For third or subsequent offenses the vehicle will be forfeited and sold and the person will not be permitted to register any motor vehicle in Ohio for FIVE YEARS. SUSPENSION INDEFINITELY until all damages have been satisfied. OHIO DEPARTMENT OF PUBLIC SAFETY BUREAU OF MOTOR VEHICLES POWER OF ATTORNEY FOR OHIO VEHICLE REGISTRATION TO BE COMPLETED BY THE OWNER OR PURCHASER OF VEHICLE S LISTED BELOW I of hereby Print Full Name of Vehicle Owner appoint Print Address of Vehicle Owner to make application in my stead for registration or transfer of registration for the following vehicle s PLATE NUMBER VEH. YEAR MAKE TYPE COLOR SERIAL NUMBER VEHICLE OWNER DATE OF VEHICLE OWNER OH DL / OH ID VEHICLE OWNER SSN IF NO OH BIRTH DL / OH ID FOR BMV USE ONLY / CLERK VERIFICATION OF VEHICLE OWNER LIST DOCUMENT W / SSN VEHICLE OWNER PRESENTED OH DL / OH ID / MATCH IF NO OH DL / OH ID PROOF OF SSN REQUIRED IN THE CASE OF A LEASE OR JOINT OWNERSHIP YOU WILL BE REQUIRED TO PROVIDE THE LESSEE / ADDITIONAL OWNER S OHIO DRIVER LICENSE NUMBER DL OHIO ID CARD NUMBER ID SOCIAL SECURITY NUMBER SSN TAX IDENTIFICATION NUMBER EIN / TIN. LESSEE / ADDITIONAL VEHICLE OWNER NAME SSN IF NO OH DL / ID IDENTIFICATION OF PERSON GRANTED AUTHORITY PGA PGA U*S* / CANADIAN DL / ID PGA SSN IF NO U*S* / CANADIAN DL / ID IS AVAILABLE CLERK S INITIALS I certify I have reviewed documents to verify DL / ID or SSN* U*S* / CANADIAN DL / ID PGA can present U*S* or Canadian DL / ID X SSN VIA ACCEPTABLE DOCUMENT I acknowledge that I we the owner s or lessees of leased vehicle now have insurance or other financial responsibility coverage covering this vehicle and I we will not operate or permit the operation of this vehicle without FR coverage and that the vehicle will not be used as a commercial vehicle unless so registered* I understand and acknowledge that making false statements on this document is illegal and may subject me to criminal penalties.

Power of attorney signature de... THIS LIMITED POWER OF ATTORNEY FOR SIGNATURE DELEGATION SHALL BE GOVERNED BY THE LAWS OF THE STATE OF OHIO WITHOUT REGARD FOR CONFLICTS OF LAWS AND PRINCIPLES AND IS INTENDED TO BE VALID IN ALL JURISDICTIONS OF THE UNITED STATES OF AMERICA. Choice of Law. THIS LIMITED POWER OF ATTORNEY FOR SIGNATURE DELEGATION IS EFFECTIVE ONLY FOR CLAIM REIMBURSEMENT APPLICATIONS COST PREAPPROVAL APPLICATIONS CERTIFICATION AFFIDAVITS AND DIRECT PAYMENT AUTHORIZA...

Nc secretary of state financia... NORTH CAROLINA HEALTH CARE POWER OF ATTORNEY NOTICE: This document gives the person you designate your health care agent broad powers to make health care decisions, including mental health treatment

Arizona financial power of att... STATE OF ARIZONA DURABLE HEALTH CARE POWER OF ATTORNEY Instructions and Form GENERAL INSTRUCTIONS: Use this Durable Health Care Power of Attorney form if you want to select a person to make future

Ny statutory short form New York State Bar Association New York Statutory Short Form Power of Attorney 8/18/10 Eff. 9/12/10 POWER OF ATTORNEY NEW YORK STATUTORY SHORT FORM a CAUTION TO THE PRINCIPAL Your Power of Attorney is an important document. As the principal you give the person whom you choose your agent authority to spend your money and sell or dispose of your property during your lifetime without telling you. You do not lose your authority to act even though you have given your agent similar authority. When your agent exercises this authority he or she must act according to any instructions you have provided or where there are no specific instructions in your best interest. Important Information for the Agent at the end of this document describes your agent s responsibilities. Your agent can act on your behalf only after signing the Power of Attorney before a notary public* You can request information from your agent at any time. If you are revoking a prior Power of Attorney you should provide written notice of the revocation to your prior agent s and to any third parties who may have acted upon it including the financial institutions where your accounts are located* You can revoke or terminate your Power of Attorney at any time for any reason as long as you are of sound mind* If you are no longer of sound mind a court can remove an agent for acting improperly. Proxy to do this. The law governing Powers of Attorney is contained in the New York General Obligations Law Article 5 Title 15. This law is available at a law library or online through the New York State Senate or Assembly websites www. senate. state. ny. us or www. assembly. state. ny. us. If there is anything about this document that you do not understand you should ask a lawyer of your own choosing to explain it to you. b DESIGNATION OF AGENT S I name of principal address of principal hereby appoint name of agent address of agent name of second agent address of second agent as my agent s. 2010 N*Y. Laws ch. 340 Page 1 of 9 If you designate more than one agent above they must act together unless you initial the statement below. c My agents may act SEPARATELY. If any agent designated above is unable or unwilling to serve I appoint as my successor agent s name of successor agent address of successor agent name of second successor agent Successor agents designated above must act together unless you initial the statement below. My successor agents may act SEPARATELY. You may provide for specific succession rules in this section* Insert specific succession provisions here d This POWER OF ATTORNEY shall not be affected by my subsequent incapacity unless I have stated otherwise below under Modifications. e executed by me unless I have stated otherwise below under Modifications. If you do NOT intend to revoke your prior Powers of Attorney and if you have granted the same authority in this Power of Attorney as you granted to another agent in a prior Power of Attorney each agent can act separately unless you indicate under Modifications that the agents with the same authority are to act together.

2010 form power of attorney N.Y. Statutory Short Form Power of Attorney Effective 09/12/2010 POWER OF ATTORNEY NEW YORK STATUTORY SHORT FORM a CAUTION TO THE PRINCIPAL Your Power of Attorney is an important document. As the principal you give the person whom you choose your agent authority to spend your money and sell or dispose of your property during your lifetime without telling you. You do not lose your authority to act even though you have given your agent similar authority. When your agent exercises this authority he or she must act according to any instructions you have provided or where there are no specific instructions in your best interest. Important Information for the Agent at the end of this document describes your agent s responsibilities. Your agent can act on your behalf only after signing the Power of Attorney before a notary public* You can request information from your agent at any time. If you are revoking a prior Power of Attorney you should provide written notice of the revocation to your prior agent s and to any third parties who may have acted upon it including the financial institutions where your accounts are located* You can revoke or terminate your Power of Attorney at any time for any reason as long as you are of sound mind* If you are no longer of sound mind a court can remove an agent for acting improperly. to do this. The law governing Powers of Attorney is contained in the New York General Obligations Law Article 5 Title 15. This law is available at a law library or online through the New York State Senate or Assembly websites www. senate. state. ny. us or www. assembly. state. ny. us. If there is anything about this document that you do not understand you should ask a lawyer of your own choosing to explain it to you. b DESIGNATION OF AGENT S I hereby appoint name and address of principal as my agent s If you designate more than one agent above they must act together unless you initial the statement below. My agents may act SEPARATELY. If every agent designated above is unable or unwilling to serve I appoint as my successor agent s Successor agents designated above must act together unless you initial the statement below. My successor agents may act SEPARATELY. You may provide for specific succession rules in this section* Insert specific succession provisions here d This POWER OF ATTORNEY shall not be affected by my subsequent incapacity unless I have stated otherwise below under Modifications. executed by me unless I have stated otherwise below under Modifications. If you do not intend to revoke your prior Powers of Attorney and if you have granted the same authority in this Power of Attorney as you granted to another agent in a prior Power of Attorney each agent can act separately unless you indicate under Modifications that the agents with the same authority are to act together. f GRANT OF AUTHORITY To grant your agent some or all of the authority below either 1 Initial the bracket at each authority you grant or 2 Write or type the letters for each authority you grant on the blank line at P and I grant authority to my agent s with respect to the following subjects as defined in sections 5 1502A through 5-l502N of the New York General Obligations Law A real estate transactions B chattel and goods transactions C bond share and commodity transactions D banking transactions E business operating transactions F insurance transactions G estate transactions H claims and litigation I personal and family maintenance.

Nc power of attorney form 32A-1. Statutory Short Form of General Power of Attorney. The use of the following form ... THEY ARE DEFINED IN CHAPTER 32A OF THE NORTH CAROLINA.

Sars power of attorney general... SARS/general power of attorney POWER OF ATTORNEY TO WHOM IT MAY CONCERN I the undersigned in my capacity as taxpayer / vendor / representative taxpayer / vendor / employer delete whichever is not applicable or complete blank space with income tax reference number nominate and appoint his/her capacity as to be my representative with full power and authority to act on my behalf in respect of my tax affairs and in my name and on my behalf to make any enquiries or to complete or sign the necessary returns or other documents regarding my tax affairs. This power of attorney does not apply to the lodging of any objection by me against any assessment appeal to the Tax Board or Court or participation in the alternative dispute resolution in terms of the rules applicable to the dispute resolution process which process requires a separate power of attorney contemplated in rule 4 d ii of the rules issued in terms of section 107A of the Income Tax Act 1962.

Blank military form This is a military power of attorney prepared and executed pursuant to Title 10, United States Code, Section 1044b by a person authorized to receive legal assistance from the military services. Federal

Power of attorney etrade form Please note that the powers granted to your Agent by this power of attorney pertain only to your ETRADE Securities brokerage account. Power of Attorney with Provisions for Durable Questions E-mail us through etrade. com or call 1-800-786-2575 24 hours a day 7 days a week. Or property held in my ETRADE Securities brokerage account s. Please note does not apply to free checkwriting offered through Kemper or to retirement accounts. I acknowledge that I have read the Notice to Account Holder Executing Durable Power of Attorney on reverse. The durable power of attorney is important to you. If you do not understand the durable Not FDIC insured. No bank guarantee. May lose value. 2002-03 ETRADE Securities LLC member NASD/SIPC. Accounts are carried by an affiliate ETRADE Clearing LLC member NYSE/NASD/SIPC. I acknowledge that I have read the Notice to Account Holder Executing Durable Power of Attorney on reverse. The powers granted to my Agent are durable. They will remain in effect if I become incapacitated and will become void when ETRADE Securities is provided with timely written notice of either 1 my death or 2 the revocation of my Agent s authority. Note This is a matter between you and your Agent and ETRADE Securities will not be responsible for processing any fees that you agree to pay your Agent. The powers you give your Agent will continue to exist for your entire lifetime unless you state that the durable power of attorney will last for a shorter period of time or unless you otherwise terminate the durable power of attorney. This document gives your Agent the powers to manage dispose of sell and convey your real and personal property and to use your property as security if your Agent borrows money on your behalf. Your Agent will have the right to receive reasonable payment for services provided under this durable power of attorney unless you provide otherwise in this power of attorney. Note This is a matter between you and your Agent and ETRADE Securities will not be responsible for processing any fees that you agree to pay your Agent. ETRADE Securities LLC P. O. Box 9206 Boston MA 02266-9206 Instructions Please read this document carefully including the reverse side before signing. It instructs ETRADE Securities to conduct business with your authorized agent. If the account s are held by joint owners all account holders must execute each pertinent section of this document. 1. Account Holder I hereby appoint or certify that I appointed as my agent and attorney-in-fact Agent and have granted him/her the express authority to make decisions concerning my ETRADE Securities brokerage account s listed below including the authority to buy sell exchange and otherwise trade stocks bonds mutual funds and all other types of securities. This authority includes the authority to do withdrawals only if the appropriate box is initialed below. If my account s is are approved by ETRADE Securities for trading on margin I hereby grant or certify that I have granted my Agent the authority to engage in margin trading.

Idaho statutory form power att... AFTER RECORDING MAIL TO IDAHO STATUTORY FORM POWER OF ATTORNEY IMPORTANT INFORMATION This power of attorney authorizes another person your agent to make decisions concerning your property for you the principal. Your agent can make decisions and act with respect to your property including your money whether or not you are able to act for yourself* The meaning of authority over subjects listed on this form is explained in the uniform power of attorney act chapter 12 title 15 Idaho Code. This power of attorney does not authorize the agent to make health care decisions for you. You should select someone you trust to serve as your agent. The agent s authority will continue until your death unless you revoke the power of attorney or the agent resigns. Your agent is entitled to reasonable compensation unless you state otherwise in the Special Instructions. This form provides for designation of one 1 agent. If you wish to name more than one 1 agent you may name a co-agent in the Special Instructions. Co-agents are not required to act together unless you include that requirement in the Special Instructions. If your agent is unable or unwilling to act for you your power of attorney will end unless you have named a successor agent. You may also name a second successor agent. This power of attorney becomes effective immediately unless you state otherwise in the Special Instructions. If you have questions about the power of attorney or the authority you are granting to your agent you should seek legal advice before signing this form* DESIGNATION OF AGENT Name of Agent. Agent s Address. Agent s Phone Number. If my agent is unable or unwilling to act for me I name as my successor agent Name of Successor Agent Successor Agent s Address If my successor agent is unable or unwilling to act for me I name as my second successor agent Name of Second Successor Agent Second Successor Agent s Address GRANT OF GENERAL AUTHORITY I grant my agent and any successor agent general authority to act for me with respect to the following subjects as defined in the uniform power of attorney act chapter 12 title 15 Idaho Code INITIAL each subject you want to include in the agent s general authority. If you wish to grant general authority over all of the subjects you may initial All Preceding Subjects instead of initialing each subject. Real Property Tangible Personal Property Stocks and Bonds Commodities and Options Banks and Other Financial Institutions Operation of an Entity or Business Insurance and Annuities Estates Trusts and Other Beneficial Interests Claims and Litigation Personal and Family Maintenance Benefits from Governmental Programs or Civil or Military Service Retirement Plans Taxes All Preceding Subjects GRANT OF SPECIFIC AUTHORITY OPTIONAL My agent MAY NOT do any of the following specific acts for me UNLESS I have INITIALED the specific authority listed below CAUTION Granting any of the following will give your agent the authority to take actions that could significantly reduce your property or change how your property is distributed at your death.

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