Certification Of Durable Power Of Attorney By Agent - Texas

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Certification of Durable Power of Attorney by Agent
I, _________________________________ (agent), certify under penalty of perjury that:
1. I am the agent named in the power of attorney validly executed by __________________
(principal) ("principal") on ____________ (date), and the power of attorney is now in full
force and effect.
2. The principal is not deceased and is presently domiciled in _____________________
(city and state/territory or foreign country).
3. To the best of my knowledge after diligent search and inquiry:
a. The power of attorney has not been revoked by the principal or suspended or
terminated by the occurrence of any event, whether or not referenced in the power of
attorney;
b. At the time the power of attorney was executed, the principal was mentally competent
to transact legal matters and was not acting under the undue influence of any other
person;
c. A permanent guardian of the estate of the principal has not qualified to serve in that
capacity;
d. My powers under the power of attorney have not been suspended by a court in a
temporary guardianship or other proceeding;
e. If I am (or was) the principal's spouse, my marriage to the principal has not been
dissolved by court decree of divorce or annulment or declared void by a court, or the
power of attorney provides specifically that my appointment as the agent for the
principal does not terminate if my marriage to the principal has been dissolved by
court decree of divorce or annulment or declared void by a court;
f. No proceeding has been commenced for a temporary or permanent guardianship of
the person or estate, or both, of the principal; and
g. The exercise of my authority is not prohibited by another agreement or instrument.
4. If under its terms the power of attorney becomes effective on the disability or incapacity
of the principal or at a future time or on the occurrence of a contingency, the principal
now has a disability or is incapacitated or the specified future time or contingency has
occurred.
5. I am acting within the scope of my authority under the power of attorney, and my
authority has not been altered or terminated.
6. If applicable, I am the successor to __________________________ (predecessor agent),
who has resigned, died, or become incapacitated, is not qualified to serve or has declined

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