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Special Power of Attorney (United States)

This is a Special Power of Attorney supplemental form to a bankruptcy form. The form provided here is simply a sample of what the actual Form B11B looks like.

Form B11B
6/90

Form 11B. SPECIAL POWER OF ATTORNEY
[Caption as in Form 16B]

SPECIAL POWER OF ATTORNEY

To ___________________ of * ___________________.

And ___________________ of * ___________________.

The undersigned claimant hereby authorizes you, or any one of you, as attorney in fact for the undersigned [if desired: and with full power of substitution,] to attend the meeting of creditors of the debtor or any adjournment thereof, 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: __________________________

Signed: ______________________________________________

By ___________________________________________

as ___________________________________________

Address: _____________________________________________

_________________________________________________

[If executed by an individual] Acknowledged before me on

__________________________.

[If executed on behalf of a partnership] Acknowledged before me

____________________________,

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.

_________________________________________

_________________________________________
[Official character.]

* State mailing address.

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