Mississippi General Power Of Attorney Form Page 2
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5DESIG ATIO OF SUCCESSOR AGE T(S) (OPTIO AL)
If my agent is unable or unwilling to act for me, I name as my successor agent:
Name of Successor:
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:
GRA T OF GE ERAL 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:
(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
GRA T OF SPECIFIC AUTHORITY (OPTIO AL)
My agent MAY NOT do any of the following specific acts for me UNLESS I have
INITIALED the specific authority listed below:
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