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Get CO DR 2175 2012-2021

Y act under it unless a transfer of ownership is occurring. All transfers of ownership require the original of this document. I agree to indemnify the third party for any claims that arise against the third party because of reliance on this Power of Attorney. I certify, under penalty of perjury in the second degree, that the above information is true and accurate to the best of my knowledge. Printed Name as it Appears on Identification of Owner/Co-Owner (Grantor) Signature of Owner/Co-Owner (Gr.

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