Indiana Durable Power Of Attorney (Page 6 of 7) in pdf

Indiana Durable Power Of Attorney Page 6

(IF YOU WISH TO NAME SUCCESSOR AGENTS, INSERT THE NAME(S)

AND ADDRESS(ES) OF SUCH SUCCESSOR(S) IN THE FOLLOWING

PARAGRAPH.)

Successor Agent. If any Agent named by me shall die, become incompetent,

resign or refuse to accept the office of Agent, I name the following (each to act

alone and successively, in the order named) as successor(s) to such Agent:

Choice of Law. THIS POWER OF ATTORNEY WILL BE GOVERNED BY

THE LAWS OF THE STATE OF INDIANA WITHOUT REGARD FOR

CONFLICTS OF LAWS PRINCIPLES. IT WAS EXECUTED IN THE STATE

OF INDIANA AND IS INTENDED TO BE VALID IN ALL JURISDICTIONS OF

THE UNITED STATES OF AMERICA AND ALL FOREIGN NATIONS.

I am fully informed as to all the contents of this form and understand the full

import of this grant of powers to my Agent.

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

[Signature of Principal]

[Signature of Agent]

[Signature of Successor Agent (if any)]

Indiana Durable Power Of Attorney Page 6