Special Power Of Attorney {B4011B}

Form 4011B (12/15) United States Bankruptcy Court District Of In re Debtor Chapter Case No. SPECIAL POWER O F ATTORNEY To of * of * , and . The undersigned claimant hereby authorizes you, or any one of you, as attorney in fact for the undersigned [if desired: and with full power of substitution,] to attend the meeting of creditors of the debtor or any adjournment thereof, and to vote in my behalf on any question that may be lawfully submitted to creditors at such meeting or adjourned meeting, and for a trustee or trustees of the estate of the debtor. Dated: Signed: By: as Address: [If executed by an individual] Acknowledged before me on [If executed on behalf of a partnership] Acknowledged before me on , by who says that he [or she] is a member of the partnership named above and is authorized to execute this power of attorney in its behalf. [If executed on behalf of a corporation] Acknowledged before me on by who says that he [or she] is of the corporation named above and is authorized to execute this power of attorney in its behalf. , . [Official character.] * State mailing address. American LegalNet, Inc. www.FormsWorkFlow.com