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Limited Power Of Attorney (Unclaimed Funds) - Iowa
| Limited Power Of Attorney (Unclaimed Funds) Form. This is a Iowa form and can be used in USBC Southern Federal . |
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RESET FORM UNITED STATES BANKRUPTCY COURT FOR THE SOUTHERN DISTRICT OF IOWA 110 E. Court Avenue, Ste 300 Des Moines, Iowa 50309 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-XX10 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 J:\Web\Forms\PDF Files\POA Unclaimed Funds.pdf 7/13/10 American LegalNet, Inc. www.FormsWorkFlow.com
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