Statutory Form For Power Of Attorney

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STATUTORY FORM FOR POWER OF ATTORNEY
A. The following statutory form of power of attorney is legally sufficient:
STATUTORY POWER OF ATTORNEY
NOTICE: THE POWERS GRANTED BY THIS DOCUMENT ARE BROAD AND
SWEEPING. THEY ARE EXPLAINED IN THE UNIFORM STATUTORY FORM POWER
OF ATTORNEY ACT.
IF YOU HAVE ANY QUESTIONS ABOUT THESE POWERS,
OBTAIN COMPETENT LEGAL ADVICE. THIS DOCUMENT DOES NOT AUTHORIZE
ANYONE TO MAKE MEDICAL AND OTHER HEALTH-CARE DECISIONS FOR YOU.
YOU MAY REVOKE THIS POWER OF ATTORNEY IF YOU LATER WISH TO DO SO.
I
_______________________________
(insert
your
name
and
address)
appoint
___________________________________ (insert the name and address of the person
appointed) as my agent (attorney-in-fact) to act for me in any lawful way with respect to the
following initialed subjects:
TO GRANT ALL OF THE FOLLOWING POWERS, INITIAL THE LINE IN FRONT OF (N)
AND IGNORE THE LINES IN FRONT OF THE OTHER POWERS.
TO GRANT ONE OR MORE, BUT FEWER THAN ALL, OF THE FOLLOWING POWERS,
INITIAL THE LINE IN FRONT OF EACH POWER YOU ARE GRANTING.
TO WITHHOLD A POWER, DO NOT INITIAL THE LINE IN FRONT OF IT. YOU MAY,
BUT NEED NOT, CROSS OUT EACH POWER WITHHELD.
INITIAL
____________ (A) Real property transactions.
____________ (B) Tangible personal property transactions.
____________ (C) Stock and bond transactions.
____________ (D) Commodity and option transactions.
____________ (E) Banking and other financial institution transactions.
____________ (F) Business operating transactions.
____________ (G) Insurance and annuity transactions.

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