This authorizes XINCONHOME-HEALTHCARESERVICESINC
(the "Company") to send credit entries (and appropriate debit and adjustment entries), electronically or by any other commercially accepted method, to my (our) account(s) indicated below and to other accounts I (we)identifyinthefuture(the"Account"). This authorizes the financial institution holdingthe Account to post all such entries.
Note: Enter your company name in the blank space above.
Account #1 Type: CHECKING