PA Acknowledgment - Agent under a Power of Attorney 2

COMMONWEALTH OF PENNSYLVANIA     

COUNTY OF 

On this ______ day of __________________, 200_, before me, the undersigned officer, personally appeared ___________________________, known to me (or satisfactorily proven) to be the person whose name is subscribed as agent under a Power of Attorney for _____________________, Principal, and acknowledged that he/she executed the same as the act of Principal for the purposes therein contained.

 

IN WITNESS WHEREOF, I hereunto set my hand and official seal.

 

_________________________________

Notary Public

 

Notarial Seal

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