____________________________________________________________
 (SPACE ABOVE RESERVED FOR RECORDING INFORMATION)

                                                                                                                                
(RESERVED FOR NAME, ADDRESS, AND TELEPHONE NUMBER
OF PERSON PREPARING INSTRUMENT)

POWER OF ATTORNEY

            I/We,                                                                                                            
 the undersigned, of                                                                                                   
 __________________________ (address) of                                                    County,
 State of                                            , appoint                                                           
 (name) of                                                                                                 (address) of
                                            County, State of                                                       , as
 my/our attorney-in-fact for me/us and in my/our name, place and stead, to convey, sell, or
 otherwise transfer or encumber real estate located in                                        County,
 State of                                                , described as follows (set forth below the legal
 description of the real estate affected by this instrument):

This is not a substitute for legal advice.  An attorney must be consulted.
Copyright © 2003 - 2013 by LAWCHEK, LTD.

POWER OF ATTORNEY FORM cont'd.

            The street address of the real estate is                                                        
 ___________________________________________________________________.

            My/Our attorney-in-fact is authorized to convey, sell, or otherwise transfer or
 encumber the above-described real estate to any persons at such times and terms and
 conditions as he/she deems proper.  My/Our attorney-in-fact is authorized to make, execute,
 acknowledge, and deliver a deed or other instrument necessary to convey and transfer such
 real estate and has full power and authority to do and perform any other act necessary to
 complete such conveyance and transfer as I/we might or could do if personally present.
 My/Our attorney-in-fact is authorized to release and relinquish my/our rights of dower,
 homestead and distributive share in and to the above-described real estate.

            This Power of Attorney shall take effect immediately upon my/our execution of it
 and it is irrevocable unless and until I/we file an executed and acknowledged revocation of
 this instrument with the office where this instrument is recorded.

            I/We revoke any and all Powers of Attorney previously made by me/us authorizing
 any person to do any acts related to the above-described real estate.

            All words and phrases contained in this instrument (and the attached
 Acknowledgment, if any) shall be construed in the singular, plural, masculine, feminine or
 neuter according to the contents.

                                                                              Date:                                                   

 ________________________________             _________________________________
 Grantor                                                                  Grantor

 ________________________________             _________________________________
 Witness (If required by law)                                    Witness (If required by law)

Attach Acknowledgment If Required By Law.

This is not a substitute for legal advice.  An attorney must be consulted.
Copyright © 2003 - 2013 by LAWCHEK, LTD.