Form C - Enduring Power Of Attorney Appointing A Personal And Property Attorney
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FORM C
[Clause 3(c)]
Enduring Power of Attorney Appointing a Personal and Property Attorney
This form is to be used as a guide to the appointment of a personal and property attorney. A personal and property attorney has authority with
respect to your personal affairs and your property and financial affairs. He or she does not have authority with regard to health care decisions, which
are governed by The Health Care Directives and Substitute Health Care Decision Makers Act. If you wish to appoint separate persons to act as your
personal attorney and your property attorney you may modify this form, or you may fill out Forms A and B.
Include in your Enduring Power of Attorney only those parts of the form that are applicable to your situation.
This Enduring Power of Attorney is given on _________________________________________________________________
(date)
by ________________________________________________________________________________________________________
(name of grantor)
of _________________________________________________________________________________________________________
(street address)
(city)
(province)
(postal code)
(Check as appropriate)
1. Appointment
(choose one)
£
(a) I appoint _____________________________________________________________________________________
(name of personal and property attorney)
of _____________________________________________________________________________________________________
(street address)
(city)
(province)
(postal code)
to act as my personal and property attorney in accordance with The Powers of Attorney Act, 2002.
or
£
(b) I appoint _____________________________________________________________________________________
(name of personal and property attorney)
of _____________________________________________________________________________________________________
(street address)
(city)
(province)
(postal code)
and ___________________________________________________________________________________________________
(name of personal and property attorney)
of _____________________________________________________________________________________________________
(street address)
(city)
(province)
(postal code)
(you may appoint two or more persons)
to act as my personal and property attorneys in accordance with The Powers of Attorney Act, 2002:
£
jointly
(your personal and property attorneys will act together)
£
severally
(your personal and property attorneys will act separately and independently, in accordance with the authority given to them)
£
successively
(your personal and property attorneys will act in order of appointment)
Optional:
£
If it is or becomes necessary for the purposes of subsection 6(2) of the Act:
I acknowledge that __________________________________________________________________________________ has
(name of personal and property attorney)
been convicted of a criminal offence relating to assault, sexual assault or other acts of violence, intimidation, criminal
harassment, uttering threats, theft, fraud or breach of trust; and I consent to this person acting as my personal and
property attorney.
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