DA Form 4881-4 Power of Attorney (For Transactions Involving Treasury Bonds)

DA Form 4881-4 - also known as the "Power Of Attorney (for Transactions Involving Treasury Bonds)" - is a United States Military form issued by the Department of the Army.

The form - often mistakenly referred to as the DD form 4881-4 - was last revised on August 1, 2004. Download an up-to-date fillable PDF version of the DA 4881-4 down below or look it up on the Army Publishing Directorate website.

ADVERTISEMENT
POWER OF ATTORNEY (For Transactions Involving Treasury Bonds)
For use of this form, see AR 700-131; the proponent agency is DCS, G-4.
Know all men by these presents, that the (a)
is a (b)
having its principal office in the city of (c)
State of (d)
, does hereby constitute
and appoint the finance and accounting officer, (e)
, acting for and on behalf of the
(f)
, and his successors in office, as attorney for said (a)
,
or its authorized representatives, for and in the name of said corporation to collect or to sell, assign, and transfer certain
US Treasury bonds described as follows:
(g)
due (h)
.
, pursuant to authority conferred
Such Treasury bonds have been deposited by (a)
by section 1126 of the Revenue Act of 1926, as amended, and subject to the provisions there of and of Treasury
Department Circular No. 154, dated February 6, 1935, as security for the faithful performance of any and all of the
conditions or stipulations
of a certain agreement entered into by (a)
with the United States, under date of
(i)
which is hereby made a part hereof as Inclosure 1. The undersigned agrees that, in case of any
default in performance of any of the conditions and stipulations of such or any part thereof the finance and accounting officer
(e)
may sell, assign, and transfer said Treasury bonds or any part thereof without
notice, at public or private sale, free from equity of redemption and without appraisement or evaluation, notice of right to
redeem being waived, and may apply the proceeds of such sale or collection in whole or in part, to the satisfaction of
such default. The undersigned further agree that the authority herein granted is irrevocable.
And such (a)
hereby for itself, its successors and assigns, ratifies and confirms such
proper action taken within the scope of this power.
In witness whereof, the (a)
, the (b)
herein above named by its (j)
and (k)
to act in the premises, has executed this instrument and caused the seal of the (a)
to be affixed this (l)
day of (m)
(n)
.
(a)
By: (o)
By: (p)
(Name and title)
(Name and title (Comptroller))
Before me, the undersigned, a Notary Public within and for the County of (q)
,
in the State of (r)
, personally appeared (s)
, (j)
and (p)
,comptroller, and for and on behalf of said (a)
,
a (b)
, acknowledged the execution of the foregoing power of attorney.
Witness my hand and notarial seal this (l)
day of (m)
, (n)
.
Notarial Seal (t)
(Notary Public)
Page 1 of 2
DA FORM 4881-4, JUL 2004
DA FORM 4881-4-R, SEP 1984, IS OBSOLETE.
APD LC v1.00
POWER OF ATTORNEY (For Transactions Involving Treasury Bonds)
For use of this form, see AR 700-131; the proponent agency is DCS, G-4.
Know all men by these presents, that the (a)
is a (b)
having its principal office in the city of (c)
State of (d)
, does hereby constitute
and appoint the finance and accounting officer, (e)
, acting for and on behalf of the
(f)
, and his successors in office, as attorney for said (a)
,
or its authorized representatives, for and in the name of said corporation to collect or to sell, assign, and transfer certain
US Treasury bonds described as follows:
(g)
due (h)
.
, pursuant to authority conferred
Such Treasury bonds have been deposited by (a)
by section 1126 of the Revenue Act of 1926, as amended, and subject to the provisions there of and of Treasury
Department Circular No. 154, dated February 6, 1935, as security for the faithful performance of any and all of the
conditions or stipulations
of a certain agreement entered into by (a)
with the United States, under date of
(i)
which is hereby made a part hereof as Inclosure 1. The undersigned agrees that, in case of any
default in performance of any of the conditions and stipulations of such or any part thereof the finance and accounting officer
(e)
may sell, assign, and transfer said Treasury bonds or any part thereof without
notice, at public or private sale, free from equity of redemption and without appraisement or evaluation, notice of right to
redeem being waived, and may apply the proceeds of such sale or collection in whole or in part, to the satisfaction of
such default. The undersigned further agree that the authority herein granted is irrevocable.
And such (a)
hereby for itself, its successors and assigns, ratifies and confirms such
proper action taken within the scope of this power.
In witness whereof, the (a)
, the (b)
herein above named by its (j)
and (k)
to act in the premises, has executed this instrument and caused the seal of the (a)
to be affixed this (l)
day of (m)
(n)
.
(a)
By: (o)
By: (p)
(Name and title)
(Name and title (Comptroller))
Before me, the undersigned, a Notary Public within and for the County of (q)
,
in the State of (r)
, personally appeared (s)
, (j)
and (p)
,comptroller, and for and on behalf of said (a)
,
a (b)
, acknowledged the execution of the foregoing power of attorney.
Witness my hand and notarial seal this (l)
day of (m)
, (n)
.
Notarial Seal (t)
(Notary Public)
Page 1 of 2
DA FORM 4881-4, JUL 2004
DA FORM 4881-4-R, SEP 1984, IS OBSOLETE.
APD LC v1.00
INSTRUCTIONS
The lettered blank portions of the Power of Attorney are to be completed as specified in the following paragraphs with
the same letters:
(a) Enter the name of the federal agency, authority, (local governmental body), or special activity which borrowed
the Army materiel.
(b) Further identify the borrower by entering here the type of activity that it is; i.e., Federal agency, civil government,
corporation (Boy Scouts of America), etc.
(c) Enter the name of the city.
(d) Enter the name of the State.
(e) Enter the name of the Army installation handling the account.
(f) Enter the name and rank of the commanding officer of the Army installation handling the account.
(g) Describe the US Treasury bonds that have been posted as bond to include type, serial numbers, and interest rates if
applicable.
(h) Enter date on which payment of the Treasury bonds becomes due if applicable. If it is not applicable enter "NA."
(i) Enter the date on which the agreement between the borrower and the US Government was signed.
(j) Enter title of the borrowing activities' chief executive; e.g., governor, chief scout executive, national commander
VFW, etc.
(k) Enter here, "Comptroller," "Treasurer," etc. as appropriate.
(l) Enter date on which the Power of Attorney is signed.
(m) Enter month in which Power of Attorney is signed.
(n) Enter year in which Power of Attorney is signed.
(o) Enter name and title of chief executive of borrowing activity.
(p) Enter, if appropriate, the names and title of the comptroller or treasurer of the borrowing activity.
(q) Enter the name of the county in which the Power of Attorney is being signed.
(r) Enter the name of the state in which the Power of Attorney is being signed.
(s) Enter the name of the chief executive of the borrowing activity.
(t) Signature of the Notary Public.
Page 2 of 2
DA FORM 4881-4, JUL 2004
APD LC v1.00

Download DA Form 4881-4 Power of Attorney (For Transactions Involving Treasury Bonds)

1000 times
Rate
4.3(4.3 / 5) 96 votes
ADVERTISEMENT
Page of 2