SPECIAL
POWER OF ATTORNEY
UNITED
STATES BANKRUPTCY COURT
FOR
THE __________ DISTRICT OF __________
To
_________________________________________________________________ of _____________________________________________________________________
(Mailing Address), and ____________________________________________________ of
_____________________________________________________ (Mailing Address):
The
undersigned claimant hereby authorizes you, or any one of you, as attorney in
fact for the undersigned with full power of substitution, to attend the meeting
of creditors of the debtor or any adjournment of the meeting, and to vote in my
behalf on any question that may be lawfully submitted to creditors at such
meeting or adjourned meeting, and for a trustee or trustees of the estate of
the debtor.
Dated:
_____________.
____________________________
___________________
Signature
and Title
If
appropriate By _________________________________________
Address:
________________________________________________
(If
executed by an individual) Acknowledged before me on __________.
(If
executed on behalf of a partnership) Acknowledged before me on ______________,
by ___________________________________, who says that __________ (He or She) is
a member of the partnership named above and is authorized to execute this power
of attorney in its behalf.
(If
executed on behalf of a corporation) acknowledged before me on ____________, by
__________________________________, who says that ___________ (He or She) is
___________________________ of the corporation named above and is authorized to
execute this power of attorney in its behalf.
______________________________________
Signature
___________________________
(Official
character)
