Statutory Short Form Power Of Attorney printable pdf download

Statutory Short Form Power Of Attorney

STATUTORY SHORT FORM POWER OF ATTORNEY

MINNESOTA STATUTES SECTION 523.23

IMPORTANT NOTICE: The powers granted by this document are broad and sweeping. They are

defined in Minnesota Statutes § 523.24. If you have any questions about these powers, obtain

competent advice. This power of attorney may be revoked by you if you wish to do so. This Power of

Attorney is automatically terminated if it is to your spouse and proceedings are commenced for

dissolution, legal separation or annulment of your marriage. This power of attorney authorizes, but does

not require, the attorney-in-fact to act for you.

PRICIPAL (Name and Address of Person Granting the Power)

______________________________________

ATTORNEYS-IN-FACT

SUCCESSOR ATTORNEY (S)-IN-FACT

(Name and Address)(Optional) To act if any

Senior Options, Inc.

named attorney-in-fact dies, resigns, or is

PO Box 49097.

otherwise unable to serve. (Name and

Blaine, MN 55449

address)

763-792-4472

First Successor:

____________________________________

Second Successor:

____________________________________

NOTICE: If more than one attorney-in-fact

Is designated, make a check or “x” on the

Line in front of one of the following

statements:

______ Each attorney-in-fact may

EXPIRATION DATE (Optional)

independently exercise the

__________ _____, 20____

powers granted.

(Use Specific Month, Day, Year Only)

______ All attorneys-in-fact must

jointly exercise the powers

granted.

Statutory Short Form Power Of Attorney