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Text File  |  1991-04-22  |  349b  |  8 lines

  1. #2400
  2. @001 Enter the name of the PRINCIPAL:
  3. @002 Enter the name of the ATTORNEY:
  4. @240 Enter the state where executed:
  5. @241 Enter the county where executed:
  6. @242 Enter the date when the power of attorney was executed:
  7. @243 Enter the date when the power of attorney became effective:
  8. @244 Enter the name of the person requesting the affidavit: