General Durable Power Of Attorney (Page 3 of 4) in pdf

General Durable Power Of Attorney Page 3

In the event (NAME #2) ________________________________________________

shall fail, refuse or be unable to serve as agent, then I appoint (NAME #3), ________

____________________________________________ , to serve as alternate agent.

The above enumeration of powers is set forth as an illustration of this power of my

agent and is not to be construed as a limitation of his/her otherwise general power. Any

institution or person, governmental agency or otherwise, looking to this Power of

Attorney for authority is hereby indemnified and saved harmless by me from any action,

cause of action or right which I might otherwise have by such person, institution or

entities' reliance on the terms of this power.

This durable power of attorney is effective immediately upon the date set forth below.

This general power of attorney is durable. It shall not terminate in the event of my

incapacity and shall survive until my death. It is written and executed in the (my state)

and shall be interpreted in accordance with the laws of that state.

IN WITNESS WHEREOF, I have set my hand and seal this _____ day of __________,

20 ______ .

_____________________________________________

PRINCIPAL

STATE OF

)

) ss.

COUNTY OF

)

The foregoing instrument was acknowledged before me this

day of

, 20

by the Principal named above.

_____________________________________

Notary Public

My commission expires: __________________

General Durable Power Of Attorney Page 3