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After Recording Return to:
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--------Above this Line Reserved for Official Use
Only----------
MILITARY SPECIAL POWER OF ATTORNEY
THIS IS A MILITARY POWER OF ATTORNEY PREPARED AND EXECUTED PURSUANT
TO TITLE 10, UNITED STATES CODE, SECTION 1044B, BY A PERSON AUTHORIZED
TO RECEIVE LEGAL ASSISTANCE FROM THE MILITARY SERVICES. FEDERAL
LAW EXEMPTS A MILITARY POWER OF ATTORNEY FROM ANY REQUIREMENT OF
FORM, SUBSTANCE, FORMALITY OR RECORDING THAT IS PRESCRIBED FOR POWERS
OF ATTORNEY BY THE LAWS OF ANY STATE, COMMONWEALTH, TERRITORY, DISTRICT,
OR POSSESSION OF THE UNITED STATES. FEDERAL LAW SPECIFIES THAT A
MILITARY POWER OF ATTORNEY SHALL BE GIVEN THE SAME LEGAL EFFECT
AS A POWER OF ATTORNEY PREPARED AND EXECUTED IN ACCORDANCE WITH
THE LAWS OF THE JURISDICTION WHERE IT IS PRESENTED.
KNOW ALL PERSONS, that I, _____________________________________________,
_________________________________, a legal resident of ____________________________,
and presently deployed to ________________________________________________________,
desiring to execute a SPECIAL POWER OF ATTORNEY, do hereby appoint
_______________ ____________________________________________, who
currently resides at _____________ ________________________________________________
my Attorney-in-Fact to act as follows, granting unto my said Attorney
full power to:
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
[State Powers Given]
TERMINATION: Unless sooner revoked or terminated by me, this Special
Power of Attorney shall become NULL and VOID from and after _____________________________________.
Not withstanding my insertion of a specific expiration date herein,
if on the above specified expiration date, I shall be or have been
carried in a military status of "missing," "missing-inaction"
or "prisoner of war, " then this power of attorney shall
automatically remain valid and in full effect until sixty (60) days
after I have returned to United States Military control following
termination of such status. This power of attorney shall not be
affected by the disability of the principal.
IN WITNESS WHEREOF, I have hereunto set my hand this __________
day of ______________________.
____________________________________
GRANTOR’S SIGNATURE
At ________________________________________, I, ________________,
the undersigned noncommissioned officer, do hereby certify that
on this _________ day of ______________________________________,
before me personally appeared _____________________________________________,
who signed and executed the foregoing instrument I do further certify
that I am at the date of this certificate a noncommissioned officer
of the grade, branch of service and organization stated below In
the active service of the United States Armed Forces, that by statute
no seal is required on this certificate and that same is executed
in my capacity as ___________________________ at __________________________
__________________________________________________________.
____________________________________
SIGNATURE
AUTHORITY TO NOTARIZE GRANTED UNDER _____________________
(SEAL)
STATE OF ___________________
____________________ COUNTY
This Instrument of writing was filed for record on the _______
day of ____________ A.D. at __________ o’clock ____.M. and
duly recorded in Vol./Book __________ on page _____.
____________________________
County/Chancery/Probate/Clerk
By _________________________
Deputy
