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Authorization Card For Attorney
AUTHORIZATION CARD FOR ATTORNEY
TO SIGN SIGNATURE OF DEPOSITOR
[Name of Depositor], the undersigned, of [address of Depositor], [city of Depositor], [state of Depositor], hereby authorizes [Name of attorney], of [address of attorney], [city of attorney], [state of attorney], to sign and indorse checks, drafts, and notes and to accept drafts as attorney for the undersigned. The undersigned shall indemnify [Name of bank], located at [address of bank], [city of bank], [state of bank], against any loss suffered as a result of acting on this power without notice of its revocation.
Dated:
[Signature of depositor]
[Signature of attorney]