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Maryland Statutory Form Limited Power of Attorney

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Maryland Statutory Form Limited Power of Attorney Page 2
Maryland Statutory Form Limited Power of Attorney
name the following person as my agent:
Name of Agent:
Agent's Address:
Agent's Telephone Number:
DESIGNATION OF COAGENTS (OPTIONAL)
This section of the form provides for designation of two or more coagents. Coagents are
required to act together unanimously unless otherwise provided in this form.
I, ,
(Name of Principal)
name the following persons as coagents:
Name of Coagent:
Coagent's Address:
Coagent's Telephone Number:
Name of Coagent:
Coagent's Address:
Coagent's Telephone Number:
Special Instructions Regarding Coagents:
DESIGNATION OF SUCCESSOR AGENT(S) (OPTIONAL)
If my agent is unable or unwilling to act for me, I name as my successor agent:
Name of Successor Agent:
Successor Agent's Address:
Successor Agent's Telephone Number:
If my successor agent is unable or unwilling to act for me, I name as my second successor agent:
Name of Second Successor Agent:
Maryland Statutory Form Limited Power of Attorney
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