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D. Special Power of Attorney

1. SPECIAL POWER OF ATTORNEY

a. Requisites

1) Appointment of an agent or attorney-in-fact

2) To whom granted

3) For what specific purpose

b. Magic Words

under oath | do hereby depose and state | name, constitute, and appoint | as my Attorney-in-Fact | to represent me | with full and special power and authority | certify

c. Reminders

1) Date

2) Parties

3) Signatures

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