POWER OF ATTORNEY - SIGN CHECKS KNOW ALL MEN BY THESE PRESENTS THAT _____________________ _________________________________________________________________ have constituted, ordained, and made, and in my stead and place put, and by these presents do constitute, ordain, and make, and in my stead and place put _______________________________________ to be my true, sufficient, and lawful Attorney for me and in my name and stead, and to ___________ use, to ask, demand, levy, require, recover and receive of and from all and every person or persons whomsoever the same shall or may concern, all and singular sum or sums of money, debts, goods, wares, merchandise, effects and things whatsoever and wheresoever they shall and may be found due, owing, payable, belonging and coming unto me the constituent by any means whatsoever and to sign and endorse checks, drafts, bills and notes in my name and in my stead and to be a lawful signatory on any account in my name in any bank or trust company. IN WITNESS WHEREOF __________ have hereunto set _______ hand and seal this __________day of _________ in the year of our Lord two thousand and _______. Signed and sealed in presence of ________________________ _________________________________ ________________________ Form 132