STATUTORY POWER OF ATTORNEY

NOTICE: THE POWERS GRANTED BY THIS DOCUMENT ARE BROAD AND SWEEPING. THEY

ARE EXPLAINED IN THE UNIFORM STATUTORY FORM POWER OF ATTORNEY ACT. IF YOU

HAVE ANY QUESTIONS ABOUT THESE POWERS, OBTAIN COMPETENT LEGAL ADVICE. THIS

DOCUMENT DOES NOT AUTHORIZE ANYONE TO MAKE MEDICAL AND OTHER HEALTH-

CARE DECISIONS FOR YOU. YOU MAY REVOKE THIS POWER OF ATTORNEY IF YOU LATER

WISH TO DO SO.

FRONT OF THE OTHER POWERS.

TO GRANT ONE OR MORE, BUT FEWER THAN ALL, OF THE FOLLOWING POWERS, INITIAL THE LINE IN FRONT

OF EACH POWER YOU ARE GRANTING.

TO WITHHOLD A POWER, DO NOT INITIAL THE LINE IN FRONT OF IT. YOU MAY, BUT NEED NOT, CROSS OUT

EACH POWER WITHHELD.

INITIAL

(G) Insurance and annuity transactions.

(H) Estate, trust, and other beneficiary transactions.

(I) Claims and litigations.

(J) Personal and family maintenance.

(K) Benefits from social security, medicare, medicaid, or other

governmental programs, or military service.

(L) Retirement plan transactions.

(M) Tax matters.

(N) ALL OF THE POWERS LISTED ABOVE. YOU NEED NOT

INITIAL ANY OTHER LINES IF YOU INITIAL LINE (N).

It is my intent that my agent (attorney-in-fact) have the broadest powers allowed by law to do any and all things I could legally do as

a competent adult acting for myself including, but not limited to, the right to make gifts on my behalf for gift and estate tax purposes,

and the right to complete and sign income tax returns.

UNLESS YOU DIRECT OTHERWISE ABOVE, THIS POWER OF ATTORNEY IS EFFECTIVE IMMEDIATELY AND WILL

CONTINUE UNTIL IT IS REVOKED.

This Power of Attorney will continue to be effective even though I become disabled, incapacitated, or incompetent.

If it becomes necessary to appoint a guardian of my person or estate, I nominate my agent pursuant to Ark. Code Ann.

Sec. 28-68-203(b) to serve as guardian and request that my guardian be allowed to serve without bond.

STRIKE THE PRECEDING SENTENCE IF YOU DO NOT WANT TO NOMINATE YOUR AGENT AS GUARDIAN.

If any agent named by me dies, becomes incompetent, resigns or refuses to accept the office of agent, I name the

following (each to act alone and successively, in the order named) as successor(s) to the agent:

1.

For purposes of this subsection, a person is considered to be incompetent if and while: (1) the person is a minor; (2) the

person is an adjudicated incompetent or disabled person; (3) a conservator has been appointed to act for the person; (4)

a guardian has been appointed to act for the person; or (5) the person is unable to give prompt and intelligent

consideration to business matters as certified by a licensed physician.

I agree that any third party who receives a copy of this document may act under it. I may revoke this power of attorney by

a written document that expressly indicates my intent to revoke. Revocation of the power of attorney is not effective as to

a third party until the third party learns of the revocation. I agree to indemnify the third party for any claims that arise

(Your Signature)

STATE OF )

)ss. ACKNOWLEDGMENT

COUNTY OF )

This document was acknowledged before me, on by

(Date) (Name of Principal)

BY ACCEPTING OR ACTING UNDER THE APPOINTMENT, THE AGENT ASSUMES THE FIDUCIARY AND OTHER

LEGAL RESPONSIBILITIES OF AN AGENT.

REQUIREMENTS. A statutory power of attorney is legally sufficient under Arkansas Code Annotated Sections 28-68-401, et

seq., if the wording of the form complies substantially with the language set out above, the form is properly completed, and the

signature of the principal is acknowledged.

GRANT OF ALL LISTED POWERS. If the line in front of (N) of the form is initialed, an initial on the line in front of any