Delaware Durable Personal Power Of Attorney Form Page 2

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Durable Personal Power of Attorney Form
As the person completing this form, you are the Principal. This form gives another
person the power to act on your behalf. The other person is your Agent.
This form allows you to designate:
(1) one Agent at a time and up to two Agents in succession;
(2) two or more Agents who may act independently of each other (Concurrent
Agents); or
(3) two or more Agents who must act together (Joint Agents).
If your Agent is unable or unwilling to act for you, your power of attorney will end
unless you have named a successor Agent(s).
IF YOU HAVE QUESTIONS ABOUT THIS POWER OF ATTORNEY OR THE AUTHORITY
YOU ARE GRANTING TO YOUR AGENT(S), YOU SHOULD SEEK LEGAL ADVICE
BEFORE COMPLETING AND SIGNING THIS FORM.
Designation of Agent
I,
________________________,
name
the
following
person(s)
as
my
(Name of Principal)
Agent(s):
Name of Agent:___________________________________________
Agent's Address:__________________________________________
Agent's Telephone Number:_________________________________
DESIGNATION OF ADDITIONAL OR SUCCESSOR AGENTS (OPTIONAL)
Name of Agent:___________________________________________
Agent's Address:__________________________________________
Agent's Telephone Number:_________________________________
Name of Agent:___________________________________________
Agent's Address:__________________________________________
Agent's Telephone Number:_________________________________
Effective October 1, 2010
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