4. SPECIAL INSTRUCTIONS. ON THE FOLLOWING LINES YOU MAY GIVE
SPECIAL INSTRUCTIONS TO YOUR AGENT:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
YOUR AGENT WILL BE ENTITLED TO REIMBURSEMENT FOR ALL
REASONABLE EXPENSES INCURRED IN ACTING UNDER THIS POWER OF
ATTORNEY. STRIKE THROUGH AND INITIAL THE NEXT SENTENCE IF YOU
DO NOT WANT YOUR AGENT TO ALSO BE ENTITLED TO REASONABLE
COMPENSATION FOR SERVICES AS AGENT.
5. (_________) My agent is entitled to reasonable compensation for services rendered as
agent under this power of attorney.
THIS POWER OF ATTORNEY MAY BE AMENDED IN ANY MANNER OR
REVOKED BY YOU AT ANY TIME. ABSENT AMENDMENT OR REVOCATION,
THE AUTHORITY GRANTED IN THIS POWER OF ATTORNEY IS EFFECTIVE
WHEN THIS POWER OF ATTORNEY IS SIGNED AND CONTINUES IN EFFECT
UNTIL YOUR DEATH, UNLESS YOU MAKE A LIMITATION ON DURATION BY
COMPLETING THE FOLLOWING:
6. This power of attorney terminates on _______________________________________
_______________________________________________________________________.
(Insert a future date or event, such as court determination of your disability, when you want this power to terminate prior to your death).
BY RETAINING THE FOLLOWING PARAGRAPH, YOU MAY, BUT ARE
NOT REQUIRED TO, NAME YOUR AGENT AS GUARDIAN OF YOUR PERSON
OR CONSERVATOR OF YOUR PROPERTY, OR BOTH, IF A COURT
PROCEEDING IS BEGUN TO APPOINT A GUARDIAN OR CONSERVATOR, OR
BOTH, FOR YOU. THE COURT WILL APPOINT YOUR AGENT AS GUARDIAN
OR CONSERVATOR, OR BOTH, IF THE COURT FINDS THAT SUCH
APPOINTMENT WILL SERVE YOUR BEST INTERESTS AND WELFARE. STRIKE
THROUGH AND INITIAL PARAGRAPH 7 IF YOU DO NOT WANT YOUR AGENT
TO ACT AS GUARDIAN OR CONSERVATOR, OR, BOTH.
7. (_________) If a guardian of my person or a conservator for my property, or both, are
to be appointed, I nominate the agent acting under this power of attorney as such
guardian or conservator, or both, to serve without bond or security.
IF YOU WISH TO NAME SUCCESSOR AGENTS, INSERT THE NAME AND
ADDRESS OF ANY SUCCESSOR AGENT IN THE FOLLOWING PARAGRAPH:
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(Legal Forms Bank.biz)