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Certificate non revocation power

Form POS AM for Somalogic INC filed 07 21 2022-2025

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The document is a Certificate of Non-Revocation of Power of Attorney required by AIA to confirm that a Power of Attorney remains valid and has not been revoked or suspended. It includes sections for the details of the Power of Attorney holder and the appointor, as well as a declaration by the attorney certifying the non-revocation status. The form must be completed accurately and returned to AIA for processing.

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How to use or fill out Form POS AM for Somalogic INC filed 07 21 2022

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Click ‘Get Form’ to open it in the editor.
Begin by entering the details of the Power of Attorney Holder. Fill in their title, last name, first names, street address, mailing address, suburb, town/city, postcode, email address, and telephone numbers.
Next, provide the Appointor details (Donor). Include their title, last name, first names, street address, mailing address, suburb, town/city, postcode, email address, and telephone numbers.
In the certification section, enter your name as the Attorney and specify your city and occupation. Confirm that you have not received any notice of revocation of the Power of Attorney.
Sign and date the form at the designated area. Ensure that you include where this declaration was made.
Review all entered information for accuracy before submitting. Return the completed form via mail or email as instructed.

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