LIMITED POWER OF ATTORNEYFOR UNCLAIMED PROPERTY CLAIM

LIMITED POWER OF ATTORNEY

FOR UNCLAIMED PROPERTY CLAIM

I, the undersigned Claimant, ___________________________________(full legal name) being duly authorized and having a primary address at ______________________________ hereby execute this limited power of Attorney on _________day of _____________2021 as follows:

I have a legal interest in the unclaimed property, hereinafter “property” currently in the possession of the State of Kentucky, Department of the Treasury, and held in my name [or in the name of __________________________________ for which I want to file a claim.

I hereby appoint Diamond Resource Recovery, located at 141 N Galt Ave Apt B, Louisville, Kentucky 40206, as my attorney in fact with authority to act on my behalf to only assist me to locate, deliver, recover, or assist in the recovery of the aforementioned property and take any required action concerning the unclaimed property on my behalf with the same effect as if I executed those actions.

Diamond Resource Recovery shall not need any further permission from me to carry on any obligation concerning the filing of the property claim subject to the limited powers conferred to them herein.

This power of attorney is effective from the execution date and will terminate after one year or sooner if revoked by me in writing.

_________________________ _________________________

Claimant Signature Date

ACKNOWLEDGMENT

State of Kentucky

County of ___________

The foregoing instrument was acknowledged before me this ______ day of _______ (year), by ______________________ (name of person acknowledged).

_______________________________________

(Signature of person taking acknowledgment)

(Title or Rank):__________________________

(Serial number, if any):____________________

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