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An Example Of A Durable Power Of Attorney Page 2

11.

If a guardian of my estate (my property) is to be appointed, I nominate the agent acting

under this power of attorney as such guardian, to serve without bond or security.

This instrument is to be construed and interpreted as a power of attorney which grants to my

agents full power and authority to do and perform all and every act as though I were there to act

personally. The enumeration of specific items, acts, rights, or powers is not intended to restrict the

general powers herein granted. Any action taken in good faith pursuant to the foregoing authority without

actual knowledge of my death shall be binding upon me, my heirs, assigns and personal representatives.

The attorney-in-fact is vested with the power of substitution. Third parties which come into contact with

___________________, as my attorney-in-fact are expressly granted the rights to rely upon the terms of

this instrument, whether in original or photostatic form.

Signed this _________ day of _______________, 200__.

__________________________________________

STATE OF ILLINOIS

)

) SS

COUNTY OF ___________

)

On this __________ day of _______________, 200__ before me ___________________, known

to me to be the same person whose name is subscribed to the foregoing instrument appeared before me

this day in person, and acknowledged that he/she signed, sealed and delivered the said Instrument as

his/her free and voluntary act, for the uses and purposes set forth.

Given under my hand and notary seal, this __________ day of _______________, 200__.

_______________________________________

Notary Public

The signature of the party designated with my power of attorney for the benefit of me is as

follows:

_____________________________________

____________________________________

Witness

The undersigned witness certifies that ____________________ known to me to be the same

person(s) whose name(s) is/are subscribed as principal to the foregoing power of attorney, appeared

before me and the notary public and acknowledged signing and delivering the instrument as the free and

voluntary act of the principal, for the uses and purposes therein set forth. I believe him and/or her to be of

sound mind and memory.

Dated: ___________________________

____________________________________

Witness

An Example Of A Durable Power Of Attorney Page 2