I, __________, appoint __________ as my agent for the limited purpose described below.

1. Property

This power applies only to the property at __________.

2. Authority

My agent may __________, including signing contracts, deeds, closing statements, loan documents and any other papers needed to complete the transaction.

3. Term

This power of attorney expires on __________ or when the transaction is complete, whichever comes first.

Notary Acknowledgment

State of __________, County of __________.

On ____________________, before me, the undersigned notary public, personally appeared __________, proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to this instrument, and acknowledged that he/she/they executed the same.

Notary Public Signature: ______________________________ My Commission Expires: ____________