Statutory Power Of Attorney Page 13

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Sworn to before me ____________________________ this ________ day
of______________________.
___________________________________
Notary Public
My commission expires:
______________________________.
B. A statutory power of attorney is legally sufficient under the Uniform Statutory Form
Power of Attorney Act, if the wording of the form complies substantially with Subsection
A of this section, the form is properly completed, and the signature of the principal is
acknowledged in any form permitted by law.
C. If the line in front of line 17 of the form under Subsection A of this section is
initialed, an initial on the line in front of any other power does not limit the powers
granted by line 17.
D. By accepting or acting under a power of attorney, statutory or otherwise, an
attorney-in-fact assumes fiduciary and other legal responsibilities of an agent acting for
the principal.
13

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