Special Power of Attorney: (Name) (Marital Status)
Special Power of Attorney: (Name) (Marital Status)
Special Power of Attorney: (Name) (Marital Status)
constitute TWIN LAKES CORPORATION, to be my true and lawful attorney-in-fact to act in, manage and
conduct my affairs, and for that purpose and on my behalf, to do and execute any or all of the following acts,
To apply for a Tax Identification Number (TIN) and/or update and modify my records with
the Bureau of Internal revenue under such terms and conditions as my attorney-in-fact
shall deem fit and proper, and to sign, execute, deliver, and receive on my behalf the
corresponding documents evidencing or relating to such transactions.
HEREBY GIVING AND GRANTING unto my attorney-in-fact full power and authority whatsoever requisite,
necessary or proper to be done in or about the premises as fully to all intents and purposes as my might or could
lawfully do if personally present and hereby ratifying and confirming all that the said attorney-in-fact shall do or
IN WITNESS WHEREOF, I have hereunto set my hand on this __________ day of ____________________ at
_______________________.
_______________________________________
ACKNOWLEDGEMENT
BEFORE ME, a Notary Public for and in __________________, this ____ day of ____________, 20___
personally appeared:
known to me and to me known to be the same persons who executed the foregoing Special Power of Attorney
which consists of one (1) page including this page upon which the Acknowledgement is written, and they
acknowledge to me that the same is their free and voluntary act and deed.
WITNESS MY HAND AND SEAL on the date and at the place abovewritten.
NOTARY PUBLIC
Doc. No. ____;
Page No. ____;
Book No. ____;
Series of 20__;