Idaho Statutory Form Power Of Attorney Template Page 3

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SPECIAL INSTRUCTIONS (OPTIONAL)
On the following lines you may give special instructions:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
EFFECTIVE DATE
This power of attorney is effective immediately unless I have stated otherwise in the Special
Instructions.
NOMINATION OF CONSERVATOR (OPTIONAL)
If it becomes necessary for a court to appoint a conservator of my estate, I nominate the
following person(s) for appointment:
Name of Nominee for conservator of my estate:
__________________________________________________
Nominee's Address:
__________________________________________________
Nominee's Phone Number: __________________________________________________
RELIANCE ON THIS POWER OF ATTORNEY
Any person, including my agent, may rely upon the validity of this power of attorney or a copy of it
unless that person knows it is terminated or invalid
Date: ________________________________
Principal's Name Printed:
______________________________________________________________________
Principal's Address:
__________________________________________________________________________
Principal's Phone Number: ____________________

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