SUCCESSOR AGENT'S
CERTIFICATION AND ACCEPTANCE OF AUTHORITY
 
I certify that the attached is a true copy of a power of attorney naming the undersigned as agent or successor agent for___________________________ (insert name of principal).
I certify that to the best of my knowledge the principal had the capacity to execute the power of attorney, is alive, and has not revoked the power of attorney; that my powers as agent have not been altered or terminated; and that the power of attorney remains in full force and effect.
I certify that to the best of my knowledge_______________________________ (insert name of unavailable agent) is unavailable due to ___________________ (specify death, resignation, absence, illness, or other temporary incapacity).
I accept appointment as agent under this power of attorney.
This certification and acceptance is made under penalty of perjury.
Dated:
________________________________________________(agent’s signature)

________________________________________________(print agent’s name)

________________________________________________(agent’s address)