AGENT'S CERTIFICATION AS TO THE VALIDITY OF POWER OF ATTORNEY AND AGENT'S AUTHORITY
State of _____________________________
[County] of___________________________
I, _____________________________________________ (Name of Agent), [certify] under penalty of perjury that __________________________________________(Name of Principal) granted me authority as an agent or successor agent in a power of attorney dated ________________________.
I further [certify] that to my knowledge:
______________________________________________________
______________________________________________________
(Insert Other Relevant Statements)
SIGNATURE AND ACKNOWLEDGMENT
Agent's Signature | Date |
_____________________________________________
Agent's Name Printed
____________________________________________
____________________________________________
Agent's Address
____________________________________________
Agent's Telephone Number
This document was acknowledged before me on __________________________,
(Date)
by______________________________________.
(Name of Agent)
____________________________________________(Seal, if any)
Signature of Notary _________________________________
My commission expires: ________________________
[This document prepared by:
_____________________________________________________]
S.C. Code § 62-8-119