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Virginia Limited Power of Attorney for Stock Transactions and Corporate Powers

ABOUT THIS DOCUMENT

This Limited Power of Attorney for Stock Transactions and Corporate Powers is used by a shareholder in a corporation to authorize an agent to perform all acts necessary for stock transactions and other corporate powers. This document allows the appointed agent to act on behalf of the individual for the limited purpose of exercising stock options and voting rights. Some of the acts authorized include receiving and conveying stock certificates, entering into agreements and executing bank documents. This document can be customized to fit the unique needs of the individual. It should be used by shareholders located in Virginia to appoint an agent to act on their behalf for this limited purpose.

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This Limited Power of Attorney for Stock Transactions and Corporate Powers is used by a

shareholder in a corporation to authorize an agent to perform all acts necessary for stock

transactions and other corporate powers. This document allows the appointed agent to act

on behalf of the individual for the limited purpose of exercising stock options and voting

rights. Some of the acts authorized include receiving and conveying stock certificates,

entering into agreements and executing bank documents. This document can be

customized to fit the unique needs of the individual. It should be used by shareholders

located in Virginia to appoint an agent to act on their behalf for this limited purpose.

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LIMITED POWER OF ATTORNEY FOR STOCK TRANSACTIONS AND

CORPORATE POWERS



STATE OF Virginia



COUNTY OF __________________________



KNOW ALL MEN BY THESE PRESENTS:



That I, ____________________________ [Instruction: Insert the name of person/principal

making this power of attorney] residing at ______________________________ [Instruction:

Insert the address of person/principal making this power of attorney] (hereinafter referred to

as the “Principal”) being of sound mind and memory, do hereby make, constitute and appoint

____________________________ [Instruction: Insert the name of Agent] residing at

_________________________________ [Instruction: Insert the address of Agent], as my true

and lawful Attorney-in-Fact (hereinafter referred to as the “Attorney-in-Fact”),



THIS DOCUMENT SHALL BE CONSTRUED AND INTERPRETED AS A LIMITED

POWER OF ATTORNEY AND THE ATTORNEY-IN-FACT SHALL HAVE THE POWER

AND AUTHORITY TO PERFORM OR UNDERTAKE ANY ACTION I COULD PERFORM

OR UNDERTAKE IF I WERE PERSONALLY PRESENT.



I hereby authorize the Attorney-in-Fact to act with the following limited powers:



Exercising stock options and voting all of my shares of stock in

______________________________________ [Instruction: Insert the name of Corporation

where the stock is deposited] a Corporation incorporated in the State of Virginia, (hereinafter

referred to as the "Corporation"), without the necessity of a proxy and the right to appoint

proxies therefore, and possessing all powers that I possess as granted to me by the Bylaws of the

Corporation, to incorporate, reorganize, merge, consolidate, recapitalize, sell, liquidate or

dissolve any business; elect or employ officers, directors and agents; carry out the provisions of
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