Financial Power Of Attorney Template Page 2

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MASTER FINANCIAL POA SHORT FORM
USE FOR ILLUSTRATION PURPOSES ONLY
foreign government; to prepare, to execute, and to file all other papers and instruments which the Agent
shall think to be desirable or necessary for safeguarding of me against excess or illegal taxation or
against penalties imposed for claimed violation of any law or other governmental regulation; and to
pay, to compromise, or to contest or to apply for refunds in connection with any taxes or assessments
for which I am or may be liable.
2.6
_______ (Initials) Broad Powers: Without, in any way, limiting the foregoing,
generally to do, execute, and perform any other act, deed, matter, or thing whatsoever, that should be
done, executed, or performed, including, but not limited to, powers conferred by O.C.G.A. §§ 53-12-
261 and 263, or that in the opinion of my Agent, should be done, executed, or performed, for my
benefit or the benefit of my property real or personal, and in my name of every nature and kind
whatsoever, as fully and effectually as I could do if personally present.
A R T I C L E 3
- E F F E C T I V E DA T E
3.1
The powers conveyed by this Financial POA shall become effective immediately.
(Or)
3.2
The powers conveyed by this Financial POA shall not become effective until
_(insert
date)_.
(Or)
3.3
The powers conveyed by this Financial POA shall not become effective until the
occurrence of the following event or contingency
__(insert event or contingency)__.
a.
I appoint
__(name of decision maker)__
to determine conclusively that the
above-specified event or contingency has occurred:
A R T I C L E 4
– SUC C E SSOR A G E NT (S)
If my Agent is unable or unwilling to serve, I appoint _(insert name of successor agent), as
Successor Agent.
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Active 2374706v1 999981.001707

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