Official Form 411A "General Power of Attorney"

What Is Official Form 411A?

This is a legal form that was released by the United States Bankruptcy Court on December 1, 2018 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 1, 2018;
  • The latest available edition released by the United States Bankruptcy Court;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Official Form 411A by clicking the link below or browse more documents and templates provided by the United States Bankruptcy Court.

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Download Official Form 411A "General Power of Attorney"

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Official Form 411A (12/18)
United States Bankruptcy Court
District Of
In re
Case No.
Debtor
Chapter
GENERAL POWER O F ATTORNEY
To
of *
, and
.
of *
The undersigned claimant hereby authorizes you, or any one of you, as attorney in fact for the undersigned
and with full power of substitution, to vote on any question that may be lawfully submitted to creditors of the debtor in
the above-entitled case; [if appropriate] to vote for a trustee of the estate of the debtor and for a committee of creditors;
to receive dividends; and in general to perform any act not constituting the practice of law for the undersigned in all
matters arising in this case.
Dated:
Signed:
By:
as
Address:
[If executed by an individual] Acknowledged before me on
.
[If executed on behalf of a partnership] Acknowledged before me on
,
by
who says that he [or she] is a member of the partnership
named above and is authorized to execute this power of attorney in its behalf.
[If executed on behalf of a corporation] Acknowledged before me on
,
by
who says that he [or she] is
of the corporation named above and is authorized to execute this power of attorney in its behalf.
[Official character.]
* State mailing address.
Official Form 411A (12/18)
United States Bankruptcy Court
District Of
In re
Case No.
Debtor
Chapter
GENERAL POWER O F ATTORNEY
To
of *
, and
.
of *
The undersigned claimant hereby authorizes you, or any one of you, as attorney in fact for the undersigned
and with full power of substitution, to vote on any question that may be lawfully submitted to creditors of the debtor in
the above-entitled case; [if appropriate] to vote for a trustee of the estate of the debtor and for a committee of creditors;
to receive dividends; and in general to perform any act not constituting the practice of law for the undersigned in all
matters arising in this case.
Dated:
Signed:
By:
as
Address:
[If executed by an individual] Acknowledged before me on
.
[If executed on behalf of a partnership] Acknowledged before me on
,
by
who says that he [or she] is a member of the partnership
named above and is authorized to execute this power of attorney in its behalf.
[If executed on behalf of a corporation] Acknowledged before me on
,
by
who says that he [or she] is
of the corporation named above and is authorized to execute this power of attorney in its behalf.
[Official character.]
* State mailing address.