Limitedpowerofattorney(Realestate)

LIMITEDPOWEROFATTORNEY(REALESTATE)

1/We,_

------County,StateofIndiana,beingatleast18yearsofageandmentally competent,doherebydesignate of ------County,StateofIndiana,asmytrueandlawfulattorney-in-fact.

I.POWERSANDPURPOSES

Theabovenameattorney-in-factshallhaveauthoritywithrespecttorealpropertytransactionspursuanttoInd.Code

S30-5-5-2,pertainingtothetransactionrealestatedescribedbelow,situatedin County,State

ofIndiana:

theaddressofsuchrealestateiscommonlyknownas

(the"RealEstate")andshallbeconstruedsoastoeffectuatethispurpose.Thisauthorityshallinclude,bywayofillustrationandnotlimitation,thepower:

Tomake,drawandindorsepromissorynotes,checksorbillsorexchangepertainingtotheRealEstateandtowaivedemand,presentment,protest,noticeofprotest,andnoticeofnon-paymentofallsuchinstruments;

TomakeandexecuteanyandallcontractpertainingtotheRealEstate;

Toreceiveandtodemandallsumsofmoney,debts,dues,accounts,bequests,interestanddemandspertainingtotheRealEstatewhicharenoworshallhereafterbecomedueorpayabletousandtocompromise, settleordischargethesame;

Tobargainfor,contract concerning, buy,sell,encumberandinanywayandmanner,dealwithpersonalpropertylocateduponorpertainingtotheRealEstate;and,

Toexecuteanyandalldocumentation necessarytoeffectuatethetransactionsdescribedabove,including,butnotlimitedto,closingstatements,instrumentsofconveyanceandsupportingdocumentation,certifications,acknowledgements,andlikeinstrument.

LPOA17/98SB

II.EFFECTIVEDATEANDTERMINATION

AThispowerofattorneyshallbeeffective:(selectappropriateprovision)

asofthedateitissignedas

uponthedeterminationthatIamdisabledorincapacitated,ornolongercapableofmanagingmyaffairsprudently.Mydisabilityorincapacity,forthispurpose,maybeestablishedbythecertificateofaqualifiedphysicianstatingthatIamunabletomanagemyaffairs.

B.Mydisabilityorincompetence(selectappropriateprovision):(shall)(shallnot)affectorterminatethisPowerof

Attorney.

C.Thispowerofattorneyshallterminate:(selectappropriateprovision)

uponmyincapacityupon

upon

writtenrevocationhereof.

Ill.RATIFICATIONANDINDEMNIFICATION

I;weherebyratifyandconfirmthatallmyattorney-in-factshalldobyvirtuehereof.Further,I;weagreetoindemnifyandholdharlessanypersonwho,ingoodfaith,actsunderthisPowerofAttorneyortransactsbusinesswithmyattorney-in-factinrelianceuponthisPower,withoutactualknowledgeofitsrevocation.

INWITNESSWHEREOF,ljWehavehereuntosetmyjourhand(s)andseal(s)this dayof _

Printed:_Printed:------

STATEOFINDIANACOUNTYOF

lSS:

Beforeme,aNotaryPublicinandforsaidCountyandState,personally appeared------,.-andwho

acknowledgedtheexecutionoftheforegoingPowerofAttorney,andwho,havingbeendulysworn,statedthatanyrepresentationsthereincontainedaretrue.

WITNESSmyhandandNotarialseal,this

dayof _

Printed:------'NotaryPublic------

MyCommissionExpires: _

MyCountyofResidence:------

Thisinstrumentwaspreparedby------

1 affirm,underthepenaltiesforperjury,thatIhavetakenreasonablecaretoredacteachSocialSecuritynumberinthisdocument,unlessrequiredbylaw.------

LPOA26/2006PM