State Of Colorado Statutory Form Power Of Attorney Page 2

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DESIGNATION OF SUCCESSOR AGENT(S) (OPTIONAL)
If my agent is unable or unwilling to act for me, I name as my successor agent:
Name of successor agent:
Successor agent's address:
Successor agent's telephone number:
If my successor agent is unable or unwilling to act for me, I name as my second successor
agent:
Name of second successor agent:
Second successor agent's address:
Second successor agent's telephone number:
GRANT OF GENERAL AUTHORITY
I grant my agent and any successor agent general authority to act for me with respect to the
following subjects as defined in the Uniform Power of Attorney Act, part 7 of article 14 of title 15,
Colorado Revised Statutes:
(INITIAL each subject you want to include in the agent's general authority. If you wish to
grant general authority over all of the subjects you may initial All preceding subjects instead of
initialing each subject.)
(___) Real property
(___) Tangible personal property
(___) Stocks and bonds
(___) Commodities and options
(___) Banks and other financial institutions
(___) Operation of entity or business
(___) Insurance and annuities
(___) Estates, trusts, and other beneficial interests
(___) Claims and litigation
(___) Personal and family maintenance
(___) Benefits from governmental programs or civil or military service
(___) Retirement plans
(___) Taxes
(___) All preceding subjects
GRANT OF SPECIFIC AUTHORITY (OPTIONAL)
My agent MAY NOT do any of the following specific acts for me UNLESS I have INITIALED
the specific authority listed below:
(CAUTION: Granting any of the following will give your agent the authority to take actions that could
significantly reduce your property or change how your property is distributed at your death. INITIAL
ONLY the specific authority you WANT to give your agent.)
STATE OF COLORADO STATUTORY FORM POWER OF ATTORNEY
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