Free Limited Power of Attorney - Iowa



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CLEAR FORM UNITED STATES BANKRUPTCY COURT FOR THE SOUTHERN DISTRICT OF IOWA P.O. Box 9264 Des Moines, Iowa 50306-9264 www.iasb.uscourts.gov In the Matter of: Case No. LIMITED POWER OF ATTORNEY To: (name address of agent/attorney- in- fact) The undersigned claimant hereby authorized you to act as attorney- in- fact for the undersigned only to collect uncollected, undistributed, or unclaimed funds held by the court and owing to _________________________________________(name of claimant) in the amount of $______________. Dated: Signature: Name: Address: Telephone: Social Security Number: XXX-XX- 07 Acknowledged before me on the ________ day of __________________, 20_____, by _________________________________, who says that he/she is the person name above and is authorized to execute this power of attorney. Signature_______________________

CLEAR FORM
UNITED STATES BANKRUPTCY COURT FOR THE SOUTHERN DISTRICT OF IOWA
P.O. Box 9264 Des Moines, Iowa 50306-9264 www.iasb.uscourts.gov

In the Matter of:

Case No.

LIMITED POWER OF ATTORNEY To: (name address of agent/attorney- in- fact)

The undersigned claimant hereby authorized you to act as attorney- in- fact for the undersigned only to collect uncollected, undistributed, or unclaimed funds held by the court and owing to _________________________________________(name of claimant) in the amount of $______________.

Dated:

Signature: Name: Address: Telephone: Social Security Number: XXX-XX-

07 Acknowledged before me on the ________ day of __________________, 20_____, by _________________________________, who says that he/she is the person name above and is authorized to execute this power of attorney.

Signature_________________________________ Notary Public

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J:\Web\Forms\PDF Files\POA Unclaimed Funds.pdf

File Size: 21.1 kB
Pages: 1
Date: January 10, 2007
File Format: PDF
State: Iowa
Category: Bankruptcy
Author: pjc
Word Count: 132 Words, 935 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.iasb.uscourts.gov/iasb_ftp/forms//UnclaimedFundsPOA.pdf