Power Of Attorney Form - State Of Alaska Page 3

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Section 10. Notice to Third Parties
A third party who relies on the reasonable representations of an attorney-in-fact as to a
matter relating to a power granted by a properly executed statutory power of attorney does not
incur any liability to the principal or to the principals heirs, assigns, or estate as a result of
permitting the attorney-in-fact to exercise the authority granted by the power of attorney.
A
third party who fails to honor a properly executed statutory form power of attorney may be
liable to the principal, the attorney-in-fact, the principal's heirs, assigns, or estate for civil
penalty, plus damages, costs, and fees associated with the failure to comply with the
statutory form power of attorney.
If the power of attorney is one which becomes effective
upon the disability of the principal, the disability of the principal is established by an
affidavit, as required by law.
In Witness Whereof, I have hereunto signed my name this
day of
, 20
.
(Signature of principal)
STATE OF ALASKA
)
) ss.
JUDICIAL DISTRICT )
Acknowledged before me at
on the
day of
, 2
Signature of officer or notary.
Serial number, if any;
date commission expires.
TRANSLATION CLAUSE (if needed)
I certify that I have translated the provisions of the foregoing Power of
Attorney from the English language to the
language to the best of my
ability.
Trans

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