Article One Grant Of Powers Page 5

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purposes expressed in the Financial Durable General Power of Attorney and I declare that I am eighteen
years of age or older, of sound mind and under no constraint or undue influence
________________________________________
Principal
WITNESS: I, _______________________________, the witness, sign my name to the
foregoing Financial Durable General Power of Attorney being first duly sworn and I do declare to the
undersigned authority that the principal has signed and executed this instrument as his/ her power of
attorney and that he/she signed it willingly, and that I, in the presence and hearing of the principal,
signed this power of attorney as a witness to the principal's signing and that to the best of my knowledge
the principal is eighteen years of age or older, of sound mind and under no constraint or undue influence.
Dated: ____________________
______________________________________
Signature of Witness
_________________________________________
Printed Name of Witness
STATE OF ARIZONA
)
) ss.
County of _____________
)
Subscribed, sworn to, and acknowledged before me, the undersigned Notary Public, by
___________________________________, the principal, and subscribed, sworn to, and acknowledged
before me by ________________________, witness, this ____ day of __________, 20__.
_________________________________________
Notary Public
5

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