Statutory Form Power Of Attorney (Utah) (Page 2 of 4) in pdf

Statutory Form Power Of Attorney (Utah) Page 2

DESIGNATION OF SUCCESSOR AGENT(S) (OPTIONAL)

If my agent is unable or unwilling to act for me, I name as my successor agent:

Name of Successor Agent:

Successor Agent's Address:

Successor Agent's Telephone Number:

If my successor agent is unable or unwilling to act for me, I name as my second successor

agent:

Name of Second Successor Agent:

GRANT OF GENERAL AUTHORITY

I grant my agent and any successor agent general authority to act for me with respect to

the following subjects as defined in Title 75, Chapter 9, Uniform Power of Attorney Act:

(INITIAL each subject you want to include in the agent's general authority. If you wish to

grant general authority over all of the subjects you may initial "All Preceding Subjects" instead

of initialing each subject.)

___ Real Property

___ Tangible Personal Property

___ Stocks and Bonds

___ Commodities and Options

___ Banks and Other Financial Institutions

___ Operation of Entity or Business

___ Insurance and Annuities

___ Estates, Trusts, and Other Beneficial Interests

___ Claims and Litigation

___ Personal and Family Maintenance

___ Benefits from Governmental Programs or Civil or Military Service

___ Retirement Plans

___ Taxes

___ All Preceding Subjects

Utah Statutory Power of Attorney Form for ___________________________

Page 2 of 4 Initials:_______

Statutory Form Power Of Attorney (Utah) Page 2