The Illinois Statutory Short Form Power Of Attorney For Property Page 2

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I
S
S
F
LLINOIS
TATUTORY
HORT
ORM
P
A
P
OWER OF
TTORNEY FOR
ROPERTY
1.
I, ________________________________, [FULL NAME AND COMPLETE ADDRESS OF
PRINCIPAL] hereby revoke all prior powers of attorney for property executed by me, other than
excluded powers of attorney as defined in the Illinois Power of Attorney Act, and appoint:
__________________________________ [FULL NAME OF ONE AGENT], located at
______________________________________________________________________________
[STREET, APT/SUITE/FL, CITY, STATE, ZIP] as my attorney-in-fact (my "agent") to act for
me and in my name (in any way I could act in person) with respect to the following powers, as
defined in Section 3-4 of the "Statutory Short Form Power of Attorney for Property Law"
(including all amendments), but subject to any limitations on or additions to the specified powers
inserted in paragraph 2 or 3 below:
(NOTE: You must strike out any one or more of the following categories of powers you do not want your
agent to have. Failure to strike the title of any category will cause the powers described in that category
to be granted to the agent. To strike out a category you must draw a line through the title of that
category.)
(a)
Real estate transactions.
(b)
Financial institution transactions.
(c)
Stock and bond transactions.
(d)
Tangible personal property transactions.
(e)
Safe deposit box transactions.
(f)
Insurance and annuity transactions.
(g)
Retirement plan transactions.
(h)
Social Security, employment, and military service benefits.
(i)
Tax matters.
(j)
Claims and litigation.
(k)
Commodity and option transactions.
(l)
Business operations.
(m)
Borrowing transactions.
(n)
Estate transactions.
(o)
All other property transactions.
(NOTE: Limitations on and additions to the agent's powers may be included in this power of attorney if
they are specifically described below.)
2.
The powers granted above shall not include the following powers or shall be modified or limited
in the following particulars:
(NOTE: Here you may include any specific limitations you deem appropriate, such as a prohibition or
conditions on the sale of particular stock or real estate or special rules on borrowing by the agent.)
(a)
______________________________________________________________________
3.
In addition to the powers granted above, I grant my agent the following powers:
(NOTE: Here you may add any other delegable powers including, without limitation, power to make
gifts, exercise powers of appointment, name or change beneficiaries or joint tenants or revoke or amend
any trust specifically referred to below.)
Page 2 of 8: ILLINOIS STATUTORY SHORT FORM POWER OF ATTORNEY - PROPERTY

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