Oregon General Power Of Attorney Page 2
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2My attorney-in-fact hereby accepts this appointment subject to its terms and agrees to act
and perform in said fiduciary capacity consistent with my best interests as he/she in his/her
best discretion deems advisable, and I affirm and ratify all acts so undertaken.
TO INDUCE ANY THIRD PARTY TO ACT HEREUNDER, I HERBY AGREE THAT
ANY THIRD PARTY RECEIVING A DULY EXECUTED COPY OR FACSIMILIE OF
THIS INSTRUMENT MAY ACT HEREUNDER, AND THAT REVOCATION OR
TERMINATION HEREOF SHALL BE INEFFECTIVE AS TO SUCH THIRD PARTY
UNLESS AND UNTIL ACTUAL NOTICE OF KNOWLEDGE OF REVOCATION OR
TERMINATION SHALL HAVE BEEN RECEIVED BY SUCH THIRD PARTY, AND I
FOR MYSELF AND FOR MY HEIRS, EXECUTORS, LEGAL REPRESENTATIVE
AND ASSIGNS, HEREBY AGREE TO INDEMNIFY AND HOLD HARMLESS ANY
SUCH THIRD PARTY FROM AND AGAINST ANY AND ALL CLAIMS THAT MAY
ARISE AGAINST SUCH THIRD PARTY BY REASON OF SUCH THIRD PARTY
HAVING RELIED ON THE PROVISIONS OF THIS INSTRUMENT.
Signed under this __________________________ day of ___________________
___________________________________ , 20 __________________________________
Signed in the presence of:
__________________________________
___________________________________
Witness
Grantor
__________________________________
___________________________________
Witness
Attorney-in-Fact
State of Oregon
County of ______________________________________________
On __________________________ before me, ______________________________________
Appeared_____________________________________________________________________
Personally known to me (or proved to me on the basis of satisfactory evidence) to be the
person(s) whose name(s) is/are subscribed to this within instrument and acknowledge to me
that he/she/they executed the same in his/her/their authorized capacity(ies), and that by
his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of
which the person(s) acted, executed the instrument.
WITNESS my hand and official seal.
Signature ___________________________________
(Seal)
Affiant_____Known_____Produced ID_____
Type of ID _____________________________
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