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Durable Power Of Attorney Form

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-OFFICIAL-

DURABLE POWER OF ATTORNEY FORM

I. NOTICE - This legal document grants you (Hereinafter referred to as the

“Principal”) the right to transfer unlimited financial powers to someone else

(Hereinafter referred to as the “Attorney-in-Fact”), unlimited financial powers

are described as: all financial decision making power legal under law. The

Principal’s transfer of financial powers to the Attorney-in-Fact are granted

upon authorization of this agreement, and stay in effect in the event of

incapacitation by the Principal (incapacitation is described in Paragraph II).

This agreement does not authorize the Attorney-in-Fact to make medical

decisions for the Principal. The Principal continues to retain every right to all

their financial decision making power and may revoke this Durable Power of

Attorney Form at anytime. The Principal may include restrictions or requests

pertaining to the financial decision making power of the Attorney-in-Fact. It is

the intent of the Attorney-in-Fact to act in the Principal’s wishes put forth, or,

to make financial decisions that fit the Principal’s best interest. All parties

authorizing this agreement must be at least 18 years of age and acting under

no false pressures or outside influences. Upon authorization of this Durable

Power of Attorney Form, it will revoke any previously valid Durable Power of

Attorney Form.

II. INCAPACITATION – The powers granted to the Attorney-in-Fact by the

Principal in this Durable Power of Attorney Form stay in effect upon

incapacitation by the Principal, incapacitation is describes as: A medical

physician stating verbally or in writing that the Principal can no longer make

decisions for them self.

III. REVOCATION - The Principal has the right to revoke this Durable Power of

Attorney Form at anytime. Any revocation will be effective if the Principal

either:

A. Authorizes a new Durable Power of Attorney Form.

B. Authorizes a Power of Attorney Revocation Form.

IV. WITNESS & NOTARY - This document is not valid as a Durable Power of

Attorney unless it is acknowledged before a notary public or is signed by at

least two adult witnesses who are present when the Principal signs or

acknowledges the Principal’s signature. It is recommended to have this

Durable Power of Attorney Form notarized.

Durable Power Of Attorney Form

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