California Uniform Statutory Power Of Attorney Page 5

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NOTICE TO PERSON ACCEPTING THE APPOINTMENT AS ATTORNEY-IN-FACT
By acting or agreeing to act as the agent (attorney-in-fact) under this power of attorney you
assume the fiduciary and other legal responsibilities of an agent. These responsibilities include:
1.
The legal duty to act solely in the interest of the principal and to avoid conflicts of interest.
2.
The legal duty to keep the principal's property separate and distinct from any other property
owned or controlled by you.
You may not transfer the principal's property to yourself without full and adequate
consideration or accept a gift of the principal's property unless this power of attorney specifically
authorizes you to transfer property to yourself or accept a gift of the principal's property. If you
transfer the principal's property to yourself without specific authorization in the power of attorney,
you may be prosecuted for fraud and/or embezzlement. If the principal is 65 years of age or older at
the time that the property is transferred to you without authority, you may also be prosecuted for
elder abuse under Penal Code Section 368. In addition to criminal prosecution, you may also be
sued in civil court.
I have read the foregoing notice and I understand the legal and fiduciary duties that I
assume by acting or agreeing to act as the agent (attorney-in-fact) under the terms of this power of
attorney.
Date:
[Signature of Agent]
[Print Nam e of Agent]
Statutory Form Power of Attorney
Page ii

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