Rhode Island Short Form Power Of Attorney Page 2
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2(G) claims and litigations;
(H) benefits from military service;
(I) records, reports and statements;
(J) all other matters;
(Special provisions and limitations may be included in the statutory short form power of
attorney only if they conform to the requirements of the Rhode Island Statutory Short
Form Power of Attorney Act.)
Second: This power of attorney shall:
(A) be of indefinite duration or
(B) terminate on the following date, ________________, unless otherwise terminated by
revocation, destruction or other affirmative action.
Third: Hereby ratifying and confirming all that said attorney(s) or substitute(s) do or cause
to be done.
In witness whereof I have hereunto signed my name and affixed my seal this
_____________ day of __________, 20___.
___________________________ (Signature of Principal) (Seal)
(ACKNOWLEDGEMENT)
This power of attorney shall not be affected by the subsequent incompetency of the
donor.
In witness whereof I have hereunto signed my name and affixed my seal this
_______________ day of ________ 20_____.
__________________________ (Signature of Principal) (Seal)
(ACKNOWLEDGEMENT)
The execution of this statutory short form power of attorney shall be duly acknowledged by
the principal in the manner prescribed for the acknowledgement of a conveyance of real
property. This means having this document recorded or filed by the town clerk or recorder
of deeds.
If more than one agent is designated by the principal, such agents, in the exercise of the
powers conferred, shall act jointly unless the principal specifically provides in such statutory
short form power of attorney that they are to act severally.
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