Limited Power Of Attorney

Limited Power of Attorney

Name(Required)

First Last

Name(Required)

First Last

Address:(Required)

Street Address City State ZIP Code

Date of Birth:(Required)

Social Security Number:(Required)

Email(Required)

We will send you the signed copy to this email address.

To: All Creditors/Creditors’ Representatives/Collection Agencies.

I hereby duly authorize, empower and appoint Business First Consulting, Inc. including any of its staff and other parties it may designate as my Attorney-in-Fact, to communicate with any of my Creditors, Creditors’ Representatives and/or Collection Agencies and obtain any requested information regarding any accounts or debts I may owe, including but not limited to the balance of my account, payment history, credit rating, verification of the account and any other information necessary to make satisfactory arrangements for the payment/settlement of such accounts or debts. BusinessFirst Consulting, Inc. including any of its debt settlement negotiation staff and other parties it may designate as my Attorney-in-Fact, may also to make good faith settlement and/or payment offers on my behalf to settle such accounts or debts.

This Limited Power of Attorney shall remain in force until or unless modified or rescinded in writing.

Signature(Required)

Name

First Last