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Statutory Durable Power Of Attorney Form

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STATUTORY DURABLE POWER OF ATTORNEY

NOTICE: THE POWERS GRANTED BY THIS DOCUMENT ARE BROAD AND

SWEEPING. THEY ARE EXPLAINED IN THE DURABLE POWER OF ATTORNEY ACT,

CHAPTER XII, TEXAS PROBATE CODE. IF YOU HAVE ANY QUESTIONS ABOUT

THESE POWERS, OBTAIN COMPETENT LEGAL ADVICE. THIS DOCUMENT DOES

NOT AUTHORIZE ANYONE TO MAKE MEDICAL AND OTHER HEALTH-CARE

DECISIONS FOR YOU. YOU MAY REVOKE THIS POWER OF ATTORNEY IF YOU

LATER WISH TO DO SO.

I, ________________________________ (insert your name and address), appoint

_____________________________ (insert the name and address of the person appointed) as my

agent (attorney-in-fact) to act for me in any lawful way with respect to all of the following

powers except for a power that I have crossed out below.

TO WITHHOLD A POWER, YOU MUST CROSS OUT EACH POWER WITHHELD.

Real property transactions;

Tangible personal property transactions;

Stock and bond transactions;

Commodity and option transactions;

Banking and other financial institution transactions;

Business operating transactions;

Insurance and annuity transactions;

Estate, trust, and other beneficiary transactions;

Claims and litigation;

Personal and family maintenance;

Benefits from social security, Medicare, Medicaid, or other governmental programs or

civil or military service;

Retirement plan transactions;

Tax matters.

IF NO POWER LISTED ABOVE IS CROSSED OUT, THIS DOCUMENT SHALL BE

CONSTRUED AND INTERPRETED AS A GENERAL POWER OF ATTORNEY AND MY

AGENT (ATTORNEY IN FACT) SHALL HAVE THE POWER AND AUTHORITY TO

PERFORM OR UNDERTAKE ANY ACTION I COULD PERFORM OR UNDERTAKE IF I

WERE PERSONALLY PRESENT.

SPECIAL INSTRUCTIONS:

Special instructions applicable to gifts (initial in front of the following sentence to have it apply):

I grant my agent (attorney in fact) the power to apply my property to make gifts, except that the

amount of a gift to an individual may not exceed the amount of annual exclusions allowed from

the federal gift tax for the calendar year of the gift.

STATUTORY DURABLE POWER OF ATTORNEY

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Statutory Durable Power Of Attorney Form

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