Mississippi General Power Of Attorney Form Page 4
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5OMI ATIO OF CO SERVATOR OR GUARDIA (OPTIO AL)
If it becomes necessary for a court to appoint a conservator or guardian of my estate or
guardian of my person, I nominate the following person(s) for appointment:
Name of Nominee for conservator or guardian of my estate:
Nominee’s Address:
Nominee’s Telephone Number:
Name of Nominee for guardian of my person:
Nominee’s Address:
Nominee’s Telephone Number:
RELIA CE O THIS POWER OF ATTOR EY
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 has terminated or is invalid.
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