Lee M. Perlman Durable Power Of Attorney Questionnaire
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1
2
3THE LAW OFFICES OF
LEE M. PERLMAN
1926 GREENTREE ROAD, SUITE 100, CHERRY HILL, NEW JERSEY 08003
Telephone (856) 751-4224, Facsimile (856) 751-4226
LEE M. PERLMAN
MICHAEL R. BROWER
CHRISTOPHER G. CASSIE
AMY L. KNAPP
MARY CATHERINE DOHERTY ∆
BURLINGTON COUNTY OFFICE:
137 High Street
SYLVIA VARANO∆
Mt. Holly, NJ 08060
VANESSA DASHIAK*
CATHERINE FLETCHER*
RENEE SCARGLE*
LAUREN PATANOVICH*
OCEAN COUNTY OFFICE:
230 Main Street
KRISTEN C.P. PERLMAN, M.B.A.
2
Floor, Suite B
nd
Toms River, NJ 08753
ALSO ADMITTED IN PENNSYLVANIA
∆ CERTIFIED BANKRUPTCY ASSISTANT
*LEGAL ASSISTANT
FAIR CREDIT REPORTING COORDINATOR
PLEASE REPLY TO:
CHERRY HILL OFFICE
DURABLE POWER OF ATTORNEY QUESTIONNAIRE
A Durable Power of Attorney is a legal document in which a person (called the
“Principal”) appoints an agent (sometimes referred to as an “attorney-in-fact”) to act on
his or her behalf in personal, financial and business dealings.
FULL LEGAL NAME OF PRINCIPAL
STREET ADDRESS
CITY
STATE
ZIP CODE
NAME OF PROPOSED AGENT
RELATIONSHIP
STREET ADDRESS
CITY
STATE
ZIP CODE
☐ ALTERNATE AGENT
NAME OF PROPOSED
☐ CO-AGENT Will co-agents be able to make decisions
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