SPECIAL POWER OF ATTORNEY

I, [Your Name], hereby grant [Authorized Person's Name], whose address is [Authorized Person's
Address], the authority to act on my behalf as my attorney-in-fact for the specific purpose of
authorizing my signature on documents and agreements. This Special Power of Attorney is
granted with the understanding that [Authorized Person's Name] will have the authority to sign
documents on my behalf only for the specific transactions and matters as listed below.
Authority Granted: I grant my attorney-in-fact the power and authority to sign, execute, and
deliver any documents, agreements, contracts, forms, or any other written instruments that
require my signature. This includes, but is not limited to, contracts, legal documents, financial
documents, and any other documents requiring authentication.
The authority granted to [Authorized Person's Name] is limited solely to these transactions and
matters and does not extend to any other areas of my personal or legal affairs.

I hereby affirm that any actions taken by [Authorized Person's Name] within the scope of this
Special Power of Attorney will be legally binding on me. I also agree to indemnify and hold
harmless [Authorized Person's Name] from any and all claims, liabilities, losses, and expenses
arising from the exercise of this power.

This Special Power of Attorney is made voluntarily and without any duress or coercion. I have
read and understand the contents of this document and execute it with the intent of legally
authorizing [Authorized Person's Name] to act on my behalf for the specified transactions and
matters.

In witness whereof, I have signed my name on this [Date].

[Your Signature]
[Your Name]
Acknowledgment:

State of [State], County of [County]

On this [Date], before me, a Notary Public in and for said county and state, personally appeared
[Your Name], known to me to be the person whose name is subscribed to the foregoing
instrument, and acknowledged that he/she executed the same for the purposes therein
contained.

Witness my hand and seal this ___day of {month} {year}.

[Notary Public's Name]

Notary Public