:
RECORDING REQUESTED BY
:
AND WHEN RECORDED MAIL TO
SPACE ABOVE THIS LINE IS FOR RECORDER'S USE
UNIFORM STATUTORY FORM POWER OF ATTORNEY
(California Civic Code Sec. 4401)
:
,
NOTICE
THE POWERS GRANTED BY THIS DOCUMENT ARE BROAD AND SWEEPING
THEY ARE EXPLAINED IN THE
(
4400-4465,
).
UNIFORM STATUTORY FORM POWER OF ATTORNEY ACT
CALIFORNIA CIVIC CODE SECTION
INCLUSIVE
,
IF YOU HAVE ANY QUESTIONS ABOUT THESE POWERS
OBTAIN COMPETENT LEGAL ADVICE THIS DOCUMENT DOES
-
.
NOT AUTHORIZE ANYONE TO MAKE MEDICAL AND OTHER HEALTH
CARE DECISIONS FOR YOU
YOU MAY REVOKE THIS
.
POWER OF ATTORNEY IF YOU LATER WISH TO DO SO
(your name and address)
appoint
(name and address of the person appointed, or of each person appoints if you want to designate more than one)
as my agent (attorney-in-fact) to act for me in any lawful way with respect to the following initialed subjects:
TO GRANT ALL OF THE FOLLOWING POWERS INITIAL THE LINE IN FRONT OF (N) AND IGNORE THE
LINES IN FRONT OF THE OTHER POWERS.
TO GRANT ONE OR MORE, BUT FEWER THAN ALL OF THE FOLLOWING POWERS, INITIAL THE LINE IN
FRONT OF EACH POWER YOU ARE GRANTING.
TO WITHHOLD A POWER, DO NOT INITIAL THE LINE IN FRONT OF IT, YOU MAY, BUT NEED NOT, CROSS
OUT EACH POWER WITHHELD.
INITIAL
INITIAL
(A)
Real property transactions.
(I)
Claims and litigation.
(B)
Tangible personal property transaction
(J)
Personal and family maintenance
(C)
Stock and bond transactions
(K)
Benefits from social security, Medicare,
(D)
Commodity and option transaction.
Medicaid, or other governmental programs,
(E)
Banking and other financial institution
or civil or military service
transaction
(L)
Retirement plan transactions
(F)
Business operating transactions.
(M)
Tax matters.
(G)
Insurance and annuity transactions
(N)
ALL OF THE POWERS LISTED ABOVE.
(H)
Estate, Trust, and other beneficiary.
transactions.
YOU NEED NOT INITIAL ANY OTHER LINES IF YOU INITIAL LINE (N)
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