BAFU MDC, INC.
SPECIFIC POWER OF ATTORNEY / INTAKE PORM / CONTRACT
CONTRACT/INTAKE #: ________________
Client's Name: _______________________________________
Client's Phone: ______________________________________
Client's Address:______________________________________
Client's E-mail______________________________________________
SCOPE OF THE SITUATION:
CASE________________________________________________________
FACT#1) __________________________________________________
____________________________________________________________
FACT #2) __________________________________________________
____________________________________________________________
FACT #3) __________________________________________________
____________________________________________________________
FACT #4) __________________________________________________
____________________________________________________________
FACT #5) __________________________________________________
____________________________________________________________
FACT #6) __________________________________________________
____________________________________________________________
FACT #7) __________________________________________________
____________________________________________________________
KNOW ALL MEN BY THESE PRESENTS:
[individual] , hereinafter referred to as PRINCIPAL, in the
County of ___________ State of __________ , do(es) appoint
[individual] or Company his (her) true and lawful attorney in the case below:
Name of person or company in question:__________________________
___________________________________________________________
Known Address (es) ___________________________________________
Tel # (____) _______-_________ Tel # (______) _______-__________
Email address: ________@_________________
References: Name and addresses: _______________________________
References: Name and addresses: _______________________________
References: Name and addresses: _______________________________
In principal's name, and for principal's use and benefit,
BAFU MDC ,INC. acting under this power of attorney is authorized hereby;
(1) To demand, sue for, collect, and receive all money,
debts, accounts, legacies, bequests, interest, dividends,
annuities, and demands from _________________________________
as are now or shall hereafter
become due, payable, or belonging to principal, and take
all lawful means, for the recovery thereof and to
compromise the same and give discharges for the same;
(2) To make contracts of every kind
relative to the intake case above only and, any interest therein or the
possession thereof, and to take possession and exercise control over
the use thereof;
(3) To buy, sell, and in any manner deal with goods, wares and
merchandise, and other property in possession or in action, and to
make, do, and transact all and every kind of business of whatever
nature in relations with the above captioned case given at intake.
(4) To execute, acknoweledge, and deliver contracts of
sale, escrow instructions, assignments of agreements,
and assign the beneficial interest thereunder, partial or full judgments,
satisfactions other debts, and other written instruments
of whatever kind and nature, all upon such terms and
conditions as said Power of attorney shall approve.
Giving and granting to BAFU MDC, INC. full power and
authority to do all and every act and thing whatsoever
requisite and necessary to be done relative to any of the
foregoing as fully to all intents and purposes as principal
might or could do if personally present.
All that BAFU MDC, INC shall lawfully do or cause to be done
under the authority of this power of attorney is expressly
approved.
|
BAFU MDC, INC. P.O. Box 187 Abingdon, MD 21009 (240) 786-8637 C (301) 957-8825 /s/________________________ Name: ____________________ Dated: ____________ |
Company: Address:______________________ _____________________________ Client: _______________________ Sign:_________________________ Dated: |