Power of Attorney Information
The following questions and answers are intended to assist you in completing the
Power of Attorney Registration Form.
When do I need to complete this form?
You would only use the Power of Attorney Registration Form
when you wish to add a Power of Attorney to your BlackRock
account registration.
What does completing this form allow a Power of
Attorney to do regarding my account?
The person granted power of attorney may transact all business,
including exchanges, redemptions, transfers, change of address,
and all other maintenance.
If I add a Power of Attorney to my account, do they need
to resubmit the power of attorney documentation each
time the Attorney wishes to make a transaction?
No. Once this form is completed (in good order) and the Power
of Attorney is added to the registration of the account, the
named Power of Attorney may act as if he/she were the owner
of the account.
Can a Power of Attorney be named for a trustee
or custodian?
What is the difference between a “durable” and “nondurable” Power of Attorney?
A durable power of attorney remains in effect after the principal
(the person who grants the power) becomes legally incompetent
to manage his or her own affairs. A non-durable power of attorney
remains in effect only while the principal is competent. The principal
can revoke the power of attorney at any time. Both durable and
non-durable powers are automatically revoked when the principal
is deceased.
Do all registered account owners have to sign this form?
All registered account owners that are able to sign must sign this
form in order to delegate their authority to the Power of Attorney.
If an account owner is unable to sign, the Power of Attorney must
sign on their behalf (acting in their capacity as a Power of Attorney).
What documentation is required to have a Power
of Attorney added to my account?
A copy of the power of attorney document, preferably dated
within 60 days of our receipt.
No. State law generally prohibits a trustee, custodian,
conservator, guardian, executor or estate administrator from
delegating their fiduciary authority by power of attorney.
Questions?
} Talk with your financial advisor or call us at 1-800-441-7762. You can also visit our website at www.blackrock.com/funds.
Power of Attorney Registration Form
Use this form to grant authority as power of attorney on your account
to a person (or persons) or a representative of an established
company. The power of attorney is granted authority to buy, sell
and assign securities.
Mail this form, along with any required documents to:
Regular mail:
Overnight mail:
}BlackRock Funds
}BlackRock Funds
P.O. Box 9819 4400 Computer Dr
Providence, RI 02940 Westborough, MA 01581
}
Please include a copy of the Power of Attorney document, preferably
dated within 60 days of our receipt.
Questions? Call us at 800-441-7762 or visit our website at:
www.blackrock.com/funds
Section 1: Existing Account Information
Please tell us how the account is currently registered.
First name of account owner, trustee, custodian, etc.
M.I.
Last name
M.I.
Last name
c Power of attorney is granted for this account owner
First name of joint account owner, co-trustee, minor, etc.
c Power of attorney is granted for this account owner
Section 2: Assign Your Power of Attorney
c Please update ALL accounts under this Social Security number:
OR c Please update only these account numbers:
Federal tax identification or Social Security number
First name of Power of Attorney
M.I.
Federal tax identification or Social Security number
Last name
Date of birth (month/day/year)
Name of corporation or other business entity acting as Power of Attorney
Federal tax identification (for the corporation, etc.)
Street Number
Street Name
City
State
Home telephone
Business telephone
2
Zip Code
Section 3: Convenient Service Options
For information on any of the additional service options BlackRock offers, please call us at 1-800-441-7762 or visit our website at
www.blackrock.com/funds.
A. Electronic Delivery of Documents
E-mail address
YES! I want to save paper, reduce my environmental impact and reduce expenses by turning off the paper.
c P
lease sign me up for E-Delivery of Prospectus, Annual reports, Daily Confirmations and Mailing list items.
(To sign up for E-Delivery of your quarterly account statements, please log in to your account at www.blackrock.com/funds)
B. Distribution Options (dividends and capital gains)
Distributions options will be set to “Reinvest,” automatically reinvesting in additional shares. If you prefer to be paid in cash, please check the “Pay in Cash”
box below.
Dividends:
c Reinvest
Capital Gains:
c Pay in Cash
c Reinvest
c Pay in Cash
C. Telephone Redemption and Exchange
c N
O, I do not want to have Telephone Redemption or Exchange Privileges on my account.
Your account will automatically be coded with the Telephone Redemption and the Telephone Exchange Privileges, unless you check the “No” box above.
Details about the Telephone Redemption and Telephone Exchange Privileges are available in the Fund’s prospectus.
D. EZ TRADER
Allows you to purchase or sell fund shares by telephone or over the internet through the Automated Clearing House (ACH) network. Note: Your bank must
be a member of the ACH. A savings and loan or credit union may not be able to honor electronic debits. Please check with your financial institution.
Bank account holder’s first name
M.I.
Last name
Bank account holder’s first name
M.I.
Last name
Name of Bank
Please attach a voided check or deposit slip copy here: (Required)
John A. Sample
123 Same Street
Anywhere, USA 12345
0001
20
PAY TO THE
ORDER OF
11-2323/4556
$
c Checking
c Savings
Routing Number (ABA number)
DOLLARS
Any Bank USA
Account Number
Memo
101010011
Routing Number
010123456789 0001
Account Number
3
Section 4: Signatures (Medallion Guarantee Required)
All registered owners should sign here to grant the authority to the power of attorney. In the event one or more of the registered
account owners is unable to sign, the power of attorney may sign on their behalf (please indicate by checking the box below the
signature). The person acting as power of attorney should sign below as indicated.
To help the U.S. Government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions
to obtain, verify, and record information that identifies persons opening accounts; To comply, BlackRock requires the participant’s name,
address, date of birth and government-issued identification number (generally, a Social Security Number) and other information that may
help identify the participant; and may ask for copies of related documentation and may consult third-party databases to help verify the
participant’s identity. I have read and I understand the fund’s prospectus which explains the risks of opening this account if I do not provide
all requested identification materials or if my identity cannot be adequately verified in accordance with U.S. Government requirements.
Signature of primary account owner
Date (month/day/year)
c I am signing on behalf of this account owner in my capacity as power of attorney.
Signature of joint account owner
Date (month/day/year)
c I am signing on behalf of this account owner in my capacity as power of attorney.
Signature of person (or representative of company) acting as power or attorney
Medallion Guarantee:
(Please place medallion
guarantee stamp here)
A medallion guarantee may NOT be obtained through a notary public.
Medallion Guarantee:
(Please place medallion
guarantee stamp here)
A medallion guarantee may NOT be obtained through a notary public.
Medallion Guarantee:
(Please place medallion
guarantee stamp here)
A medallion guarantee may NOT be obtained through a notary public.
©2011 BlackRock, Inc. All Rights Reserved.
Lit. No. BR-POA-1111
OE5149-1111
Date (month/day/year)