Limited Power Of Attorney Form

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LIMITED POWER OF ATTORNEY
STATE OF TENNESSEE
COUNTY OF
I,
, the undersigned, being a resident of
County, Tennessee, hereby appoint
, to be my attorney-in-fact to
act in my name in any way for which I could act for myself with respect to the following matters
as each of them is defined in Tennessee Code Annotated §§34-6-101, et seq.
This Power of Attorney is limited in nature and only grants such powers upon the
happening of a specified event.
1.
Temporary authority regarding these matters is being given to the
designated attorney in fact ONLY upon the occurrence of (initial at least one):
(
)
Fixed Time Period From:
/
/
TO
/
/
Incarceration of the principal;
(
)
(
)
The detention or removal or deportation of the principal;
Other (please describe)
(
)
.
2.
Temporary authority is limited in nature solely to the areas I have designated below.
(Initial)
(1)
Real Property and Lease Transactions
(2)
Personal Property Transactions
(3)
Banking and Financial Transactions
(4)
Estate Transactions
(5)
Contractual Agreements
(6)
Insurance Transactions
(7)
Medical Matters
(8)
Legal Matters
(9)
Social Security Matters
(10)
Tax Matters
1

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