I/We, ___________________________________________________________________
Of ______________________________________________________________________
nominate and appoint George Paukert/Road to Wealth, Inc., 8983 Okeechobee Blvd. Ste. 202-307, W. Palm Beach, FL 33411 as my attorney in fact in my stead and for myself as follows:
To send and receive EIN number from the IRS and that my NUMBER is to be faxed back to George Paukert/ROAD TO WEALTH, INC., at fax # 561-793-3629 or mail to 8983 Okeechobee Blvd. Ste. 202-307, W. Palm Beach, FL 33411.
I give my attorney-in-fact full and complete authority to perform every act herein specified or necessary, requisite or incident to those acts as though I were personally present. I ratify and confirm all acts that my attorney should perform in my behalf pursuant to this instrument.
I hereby agree to accept the appointment as attorney-in-fact, pursuant to the foregoing power of attorney.
______________________________________
Attorney-in-fact Signature
In Witness Whereof, I/We have hereunto set my hand/our hands this ______ day of _____________________, 20_____.
______________________________________
Grantor's Signature
______________________________________
Print or Type Name Here
State of ______________________
County of _____________________
On this _______ Day of _____________________________, 20 ____, Personally appeared before me, a Notary Public, ________________________________________ (Grantor), personally Known to me to be the person whose name(s) is subscribed to the above instrument who acknowledged that ___he___ Executed the instrument.
Witness my hand and official seal
_____________________________________
Notary Public
(Notary Stamp)
For Incorporation Order Form, Click Here .
For Signature Page, Click Here .
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