Confidential Client Questionnaire - General Power Of Attorney
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1
2Based on the information that you supply Dawson Legal Documents & Services LLC in this
questionnaire we will prepare your General Power of Attorney.
The cost for preparing this General Power of Attorney is $80.00.
CONFIDENTIAL CLIENT QUESTIONNAIRE – GENERAL POWER OF ATTORNEY
I understand that Dawson Legal Documents & Services LLC is an Arizona Legal
Document Preparation Company and the personnel are Arizona Certified Legal
Document Preparers and are not attorneys and cannot give legal advice or
opinion. Though Dawson Legal Documents & Services LLC must respect client
confidentiality, no Attorney/Client Privilege exists.
Dawson Legal Documents & Services LLC can tell you legal facts and explain
options you may have but we cannot advise or recommend to you what options to
select.
This Power of Attorney gives your agent authority to act on your behalf in all
financial matters. If the Principal dies then the Power of Attorney is null and
void.
PRINCIPAL’S INFORMATION
The Principal is the person who is giving power to
act on their behalf to another.
Name:
_____________________________________________________________________
Mailing address:
_____________________________________________________________________
Phone number:
_____________________________________________________________________
AGENT’S INFORMATION
The agent is the person to whom you are giving
authority to act on your behalf.
Name:
_____________________________________________________________________
Mailing address:
_____________________________________________________________________
Phone number:
_____________________________________________________________________
ALTERNATE AGENT’S INFORMATION
If the above named agent is unable to act on your
behalf for any reason you may appoint an alternate
agent. This is not a requirement.
Name:
_____________________________________________________________________
Mailing address:
_____________________________________________________________________
Phone number:
_____________________________________________________________________
Page 1 of 2, Confidential Client Questionnaire (GPA)
Rev. 11/13
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