UNLESS YOU DIRECT OTHERWISE ABOVE, THIS POWER OF ATTORNEY IS EFFECTIVE IMMEDIATELY
AND WILL CONTINUE UNTIL IT IS REVOKED.
This power of attorney will continue to be effective even though I become disabled, incapacitated, or incompetent.
STRIKE THE PRECEDING SENTENCE IF YOU DO NOT WANT THIS POWER OF ATTORNEY TO
CONTINUE IF YOU BECOME DISABLED, INCAPACITATED, OR INCOMPETENT.
I agree that any third party who receives a copy of this document may act under it. Revocation of the power of attorney
is not effective as to a third party until the third party learns of the revocation. I agree to indemnify the third party for
any claims that arise against the third party because of reliance on this power of attorney.
Signed this _______ day of _______________, 20______
______________________________
(Your Signature)
______________________________
(Your Printed Name)
______________________________
(Your Social Security Number)
State of Arkansas
County of ___________________
This document was acknowledged before me on the
_______________ (Date) by _______________________________ (name of principal)
_______________________________
(Signature of Notary Public)
(Seal, if any) _______________________________
(Title (and Rank))
[My commission expires: ______________]
BY ACCEPTING OR ACTING UNDER THE APPOINTMENT, THE AGENT ASSUMES THE FIDUCIARY AND
OTHER LEGAL RESPONSIBILITIES OF AN AGENT.