1. (Place), dated________________2012
POWER OF ATTORNEY
I, the undersigned ____________, _________, authorized to self-representation acting
on the behalf of __________________________________________(name of the company)
_______________________________________ Company entered into the register of
entrepreneurs maintained by the District Court for ___________________, __________
Division of the National Court Register under KRS number _____________ (hereinafter the
Company), hereby authorize (in this please complete the data of attorney like: name, ID
number, PESEL, address):
___________________________________________________________________________
to represent the Company in all matters and proceedings in the register of the National Court
Register, prior to any administrative, fiscal enitities, in particular is entitled to prepare
different types of applications, appeals, letters, requests and complaints and to obtain certified
copies of the file and to state acknowledgments on behalf of the Company in relation to any
natural or legal persons and other subjects. Representative is entitled to sign on behalf of the
Company any tax returns.
Representative is authorized to award attorney substitution, at the scope of these POA.