Arkansas Statutory Form Power Of Attorney

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STATE OF ARKANSAS
)
ARKANSAS STATUTORY FORM
)
POWER OF ATTORNEY
COUNTY OF
[COUNTY]
)
I.
DESIGNATION OF AGENT
I, [CLIENT], of the City of [CITY], County of [COUNTY], State of Arkansas, hereby
appoint
[NAME OF
AGENT], who resides at
[FULL ADDRESS OF AGENT]
and whose
[AGENT’S PHONE NUMBER]
telephone number is
as my true and lawful agent and
attorney-in-fact.
If my agent is unable or unwilling to act for me, I name as my successor agent
[SUCCESSOR AGENT
NAME], who resides at
[FULL ADDRESS]
and whose telephone
number is
[PHONE
NUMBER].
If my successor agent is unable or unwilling to act for me, I name as my second successor agent
[NAME OF SECOND
SUCCESSOR], who resides at
[FULL ADDRESS]
and whose telephone
number is
[PHONE
NUMBER].
II.
GRANT OF GENERAL AUTHORITY
I grant my agent and any successor agent general authority to act for me with respect to the
following subjects as defined in the Uniform Power of Attorney Act, Arkansas Code Title 28,
Chapter 68:
[THE CLIENT HAS THE OPTION OF SELECTING THE FOLLOWING:
Real Property; Tangible Personal Property; Stocks and Bonds; Commodities and Options; Banks
and Other Financial Institutions; Operation of Entity or Business; Insurance and Annuities;
Estates, Trusts, and Other Beneficial Interests; Claims and Litigation; Personal and Family
Maintenance; Benefits from Governmental Programs or Civil or Military Service; Retirement
Plans; Taxes].
III.
GRANT OF SPECIFIC AUTHORITY [OPTIONAL]
My agent is granted authority do the following specific acts for me:
[THE CLIENT HAS THE
OPTION OF SELECTING THE FOLLOWING, ANYTHING NOT SELECTED WILL
GO DOWN TO NEXT SECTION, “LIMITATION ON AGENT’S AUTHORITY”:
Amend, revoke, or terminate an inter vivos trust;
Make a gift, subject to the limitations of Ark. Code Ann. § 28-68-217 of the Uniform Power
of Attorney Act and any special instructions in this power of attorney;
Create or change rights of survivorship;
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