Statutory Durable Power Of Attorney Form Page 3

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If any agent named by me dies, becomes legally disabled, resigns, or refuses to act, I
name the following (each to act alone and successively, in the order named) a successor(s) to that
agent: ________________________________________________________________________.
Signed this _____ day of ______________________, _________.
______________________________
Signature of Principal
State of Texas
County of ____________________
This document was acknowledged before me on the ____ day of _______________, ________
by _______________________________ (name of principal).
______________________________
Notary Public, State of Texas
THE ATTORNEY IN FACT OR AGENT, BY ACCEPTING OR ACTING UNDER
THE
APPOINTMENT,
ASSUMES
THE
FIDUCIARY
AND
OTHER
LEGAL
RESPONSIBILITIES OF AN AGENT.

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