Kansas General Durable Power Of Attorney Form

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KANSAS GENERAL DURABLE POWER OF ATTORNEY
THE POWERS YOU GRANT BELOW ARE EFFECTIVE
EVEN IF YOU BECOME DISABLED OR INCOMPENT
NOTICE: THE POWERS GRANTED BY THIS DOCUMEMT 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 HEALTHCARE DECISIONS FOR YOU. YOU MAY REVOKE THIS POWER OF
ATTORNEY IF YOU LATER WISH TO DO SO. THIS POWER OF ATTORNEY IS EFFECTIVE
IMMEDIATELY AND WILL CONTINUE TO BE EFFECTIVE EVEN IF YOU BECOME
DISABLED, INCAPACITATED, OR INCOMPETENT.
Pursuant to K.S.A. 58-652(2), this is a durable power of attorney and the authority of my attorney-in-fact,
when effective, shall not terminate or be void or voidable if I am or become disabled or in the event of
later uncertainty as to whether I am dead or alive.
I,___________________________________________________________________________________
(your name)
_____________________________________________________________________________________
(address)
appoint_______________________________________________________________________________
(name of the person appointed)
_____________________________________________________________________________________
(address)
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, INTIAL 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, INTIAL
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.
Note: If you initial Item A or Item B, which follow, a notarized signature will be required on behalf
of the Principal.
INITIAL
_____(A) Real property transactions. To lease, sell, mortgage, purchase, exchange, and acquire, and to
agree, bargain, and contract for the lease, sale, purchase, exchange, and acquisition of, and to accept, take,
receive, and possess any interest in real property whatsoever, on such terms and conditions, and under
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I:SHAREDFormsKansas DPOA Financial.doc
Created 01/2011
1600 North Lorraine, Ste. 203 Hutchinson, KS 67501 620.665.2473 Toll Free 800.267.6891

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