Durable Power Of Attorney For Finances (Page 2 of 5) in pdf

Durable Power Of Attorney For Finances Page 2

DURABLE POWER OF ATTORNEY FOR FINANCES

I, __________________________________________, am of sound mind, and I

(Print or type your full name)

voluntarily make this designation. I revoke any financial powers of attorney I have

signed in the past.

PPOINTMENT OF

GENT

I designate ___________________________________, my ________________,

(Insert name of agent)

(Spouse, child, friend ... )

living at ______________________________________________________________,

to act for me as my agent, with the powers set forth in this document. If my first choice

cannot serve or cannot continue to serve, I designate ___________________________,

, li

(Name of successor agent)

my ________________, living at __________________________________________,

(Spouse, child, friend ... )

to act for me as my agent. I have discussed this appointment with the individual or

individuals I have designated.

FFECTIVE

ATE

(You must choose one paragraph by writing your initials on the line)

____________ My agent has the powers set forth in this document immediately upon

my signing it. These powers shall not be affected by any mental or physical disability I

may have in the future.

____________ My agent shall only have the powers set forth in this document when it

is determined I am unable to manage my property and financial affairs effectively. That

determination shall be made by my attending physician, who shall put it in writing.

Durable Power Of Attorney For Finances Page 2