"as my Attorney-in-Fact, hereinafter referred to as 'Agent'.
"My Agent shall have full power and authority to act on my behalf, but
"only to the extent permitted by this Special Power of Attorney. My
"Agent's power(s) shall include the power(s) to:
"
"\i
"\j
"\k
"\l
"
"I hereby grant to my Agent the full right, power, and authority to do
"every act, deed, and thing necessary or advisable to be done regarding
"the above power(s), as fully as I could do if personally present and
"acting.
"
"My Agent shall not be liable for any loss that results from a faith.
"However, my Agent shall be liable for willful misconduct or the
"failure to act in good faith while acting under the authority of this
"Power of Attorney.
"
"My Agent shall not be entitled to any compensation, during my lifetime
"or upon my death, for any services provided as my Agent. My Agent,
"however, shall be entitled to reimbursement of all reasonable expenses
"incurred in connection with this Power of Attorney.
"
"This Power of Attorney shall become effective immediately, shall not
"be affected by my disability or lack of mental competence, and shall
"continue in effect until my death; provided, however, that this Power
"of Attorney may be revoked by me at any time by providing written
"notice to my Agent.
"
"Signed on this {CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@} day of {CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}, {CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}.
"STATE/COMMONWEALTH OF {CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}
"COUNTY/BOROUGH/PARISH OF {CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}
"
"BEFORE ME, the undersigned authority, on this day personally appeared
"{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@} [name(s)], known to me
"to be the person(s) whose name(s) is(are) subscribed to the foregoing
"instrument, and acknowledged to me that he(she)(they) executed said
"instrument for the purposes and consideration therein expressed.
"
"GIVEN under my hand and seal of office on this {CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@}{CBM-@} day of