Form F-00036 - Designation Of Agent Page 4
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15LIMITATION ON AGENT’S AUTHORITY
An agent who is not my spouse or domestic partner MAY NOT use my property to benefit the agent or a
person to whom the agent owes an obligation of support unless I have included that authority in the special
instructions.
SPECIAL INSTRUCTIONS (OPTIONAL)
You may give special instructions in the following space
EFFECTIVE DATE
This power of attorney is effective immediately unless I have stated otherwise in the special instructions.
NOMINATION OF GUARDIAN (OPTIONAL)
If it becomes necessary for a court to appoint a guardian of my estate or guardian of my person, I nominate the
following person(s) for appointment:
Name of nominee for guardian of my estate:
Nominee’s address:
Nominee’s telephone number:
Name of nominee for guardian of my person:
Nominee’s address:
Nominee’s telephone number:
Page 3
Wisconsin Power of Attorney for Finances and Property
F-00036 (Rev. 09/10)
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