STATE OF LOUISIANA



STATE OF LOUISIANA

PARISH OF UNION

GENERAL POWER OF ATTORNEY

BE IT KNOW THAT, before the undersigned Notary or Notaries Public, duly commissioned and qualified in and aforesaid parish and state, and in the presence of the undersigned witnesses, personally came and appeared:

______________________________, SSN XXX-XX-_______, a major residence and domiciled in Union Parish, Louisiana, whose mailing address is ___________________

_______________________________________________________________________;

who declared that Principal hereby designated and appoints:

______________________________, SSN XXX-XX-_______, a major residence and domiciled in Union Parish, Louisiana, whose mailing address is ___________________

_______________________________________________________________________;

hereinafter referred to as "Agent";

to be Principal's agent and attorney-in-fact, with full power and authority to do all acts necessary or deemed by Agent to be appropriate to represent Principal including, without limitation, the following:

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29. Gender. Wherever the word "Principal" or the word "Agent" referring back to one or the other in this instrument is referred to, the same shall be construed as singular or plural, masculine, feminine or neuter, as the case may be.

THUS DONE AND PASSED, in Farmerville, Louisiana, on the ________ day of ______________________, 20____, in the presence of the undersigned competent witnesses who have signed their names together with the said Principal and me, Notary.

WITNESSES:

_________________________________ ____________________________________

printed name:______________________

__________________________________

printed name: ______________________

_____________________________________________

NOTARY PUBLIC

PARISH OF __________________, STATE

OF LOUISIANA ID#_________________

COMMISSION EXPIRES: _______________

THUS DONE AND PASSED, in Farmerville, Louisiana, on the _____ day of ____________, 20____, in the presence of the undersigned competent witnesses who have signed their names together with the said Principal and me, Notary.

WITNESSES:

_________________________________ ____________________________________

printed name:______________________

__________________________________

printed name: ______________________

_____________________________________________

NOTARY PUBLIC

PARISH OF __________________, STATE

OF LOUISIANA ID#_________________

COMMISSION EXPIRES: _______________

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