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Ation I, , hereby designate Printed Name of Firearm Owner/Possessor Printed Name of Power of Attorney Designee to have Power of Attorney for the purpose of transferring or disposing of my firearm(s). This Power of Attorney designation is only effective for 30 days from the date of this designation. This designation shall become null and void after 30 days. As the firearm owner, I hereby declare, under penalty of perjury under the laws of the State of California, that the forgoing is true and.

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