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Get IN ATC Limited Power Of Attorney 2011-2024

Public. 3. This Power of Attorney takes effect on the date signed and remains in effect until revoked in writing and signed before a notary public Permittee(s) Name(s) d/b/a Name(s) Permit Number Address City State Zip Code Telephone # Hereby appoint(s) the following as my Attorney in Fact pursuant to IC. 30 5 4 1 et. seq. Individual Representative/Firm Corp Name Add.

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