STATE OF MINNESOTA COUNTY OF ______________________
___________________ JUDICIAL DISTRICT DISTRICT COURT
POWER OF ATTORNEY IN FACT
_______________________________________
Name of Entity
I, __________________________________, _____________________________________, of
Name Title of Authorized Position Held
____________________________________________________________________________________________,
Name of Entity
Corporation, Partnership, Sole Proprietorship, Association (circle one) duly authorized to do business in the State of Minnesota hereby appoint and authorize: ______________________________________________________________________________
Name or Names of Employees
as attorney in fact for the business, to commence, prosecute, defend, satisfy or settle any claim or cause of action brought by or against said business in the court of _____________________ County, State of Minnesota, and to execute on behalf of the business any and all documents and pleadings necessary to accomplish said purpose.
Date:
_______________
____________________________________
Signature
____________________________________
Title
Sworn and subscribed to before me this _______ day of ________________, 20___. ____________________________________
Notary/Court Clerk
OTH301
State
ENG
Rev 7/07
www.mncourts.gov/forms
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