Form F-00036 - Designation Of Agent Page 3
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15DESIGNATION OF AGENT
I,
(name of principal), name the following person as my agent:
Name of agent:
Agent’s address:
Agent’s telephone number:
DESIGNATION OF SUCCESSOR AGENT(S) (OPTIONAL)
If my agent is unable or unwilling to act for me, I name as my successor agent:
Name of successor agent:
Successor agent’s address:
Successor agent’s telephone number:
nd
If my successor agent is unable or unwilling to act for me, I name as my 2
successor agent:
nd
Name of 2
successor agent:
Second successor agent’s address:
Second successor agent’s telephone number:
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 (see Appendix) in the Uniform Power of Attorney for Finances and Property Act in chapter 244 of the
Wisconsin statutes:
(INITIAL each subject you want to include in the agent’s general authority.)
Real property
Tangible personal property
Digital 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
Wisconsin Power of Attorney for Finances and Property
Page 2
F-00036 (Rev. 08/2016)
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