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RESOLUTION BY CORPORATION CONFERRING
AUTHORITY UPON AN OFFICER TO
Execute A Power of Attorney
FOR THE COLLECTION OF CHECKS
DRAWN ON THE UNITED STATES TREASURY
Resolved, That ___________________________________________________________________ does
(Exact corporate name)
hereby name ______________________________________ , as attorney, to receive, endorse, and collect
(Name of attorney)
for and in behalf of the corporation any check drawn on the United States Treasury and to give full
discharge therefore; and further, that _______________________________________ be, and is hereby
(Name and title of officer)
authorized and empowered to execute, in behalf of said corporation, a power of attorney appointing the said
__________________________________ , as such attorney for the purpose above expressed.
(Name of attorney)
The said corporation hereby ratifies and confirms all that may lawfully be done by virtue hereof.
I HEREBY CERTIFY that the foregoing is a true and correct copy of a resolution passed at a
_________________ meeting of the Board of ______________________, the governing body of
(Regular or Special)
_____________________a corporation duly organized and existing under and by virtue of the laws of
(Exact corporate name)
________________________ , held on the ________ day of _________________, 20 ___ , at
_________________________.
AND I FURTHER CERTIFY that due notice of said meeting was given to each member of said Board;
that a quorum was present; and that said resolution has not been amended or repealed.
WITNESS my signature and the seal of said corporation, this ____ day of ____________, 20 ___
________________________________
(Official signature of officer)
[IMPRESS CORPORATE SEAL HERE] ________________________________
(Official title of officer)
IMPORTANT – Do not execute this instrument without first reading the instructions on the next
page. Exact compliance with these instructions will avoid complications.
FORM DEPARTMENT OF THE TREASURY
FMS 1-04 235 (SUPERSEDES SF 235 (APRIL 1963) FINANCIAL MANAGEMENT SERVICE
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