Ohio Department of Agriculture

Ohio Rural Development Partnership

8995 East Main Street

Reynoldsburg, OH  43068-3399

Phone:  (614) 995-1490

ruraldev@agri.ohio.gov

ORDP USE ONLY:

WEB FORM:  2201-005

REVISED:      01/20/2004


POWER OF ATTORNEY (sample only)


 

KNOW ALL MEN BY THESE PRESENTS, that the undersigned officer of (company name), an Ohio corporation (the "Borrower"), acting on behalf of the Borrower has made, constituted and appointed, and by these presents does make, constitute and appoint (attorney name) as its true and lawful attorneys in fact for and in its name, place and stead, to endorse on behalf of and for the Borrower any and all warrants issued by the Auditor of State of Ohio representing the disbursement of the loan made by the Director of Development of the State of Ohio (the "Director") to the Borrower pursuant to the Loan Agreement (the "Loan Agreement") dated as of (date), between the Borrower and Director in the principal amount of (loan amount text format) Dollars (loan amount currency format) or such lesser amount as provided by the Loan Agreement (the "Loan Amount"), such endorsements to be made for the purpose of effecting, pursuant to the Loan Agreement, the disbursement of funds in the Loan Amount, which delivery may be by certified or cashier's check or by wire transfer to the account of the Borrower as follows:

 

 

(Bank Name)

(Bank City and State)

(ABA Routing Number)

(Account Name)

(Account Number)

ATTN:  (if applicable)

 

Giving and granting unto said attorneys in fact full power and authority to do and perform all and every act and thing whatsoever requisite and necessary to be done in the premises, as fully, to all intents and purposes, as the undersigned might or could do if personally present, with full power of substitution and revocation, hereby ratifying and confirming all that said attorney in fact or his substitute shall lawfully do or cause to be done by virtue hereof.

IN WITNESS WHEREOF, the undersigned has hereunto set his hand at (city), Ohio this (numerical date) day of (month), (year).

Signed and acknowledged in the presence of:    
   

Company Name

  By:  
Witness   Company Official
     
Witness   Title

STATE OF OHIO, COUNTY OF: __________________________________________, SS:

The foregoing instrument was acknowledged before me this (numerical date) day of (month), (year), by (company official), (title), of (company name), an Ohio corporation, on behalf of the Corporation.

   
 

Notary Public