Power Of Attorney Form For Care Of Minor Nj Page 3
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55.
T his
P ower
o f
A ttorney
a nd
t he
p owers
o f
t he
A ttorney-‐in
F act
s hall
b egin
o n
the
_ ___
d ay
o f
_ __________,
2 0___
a nd
r emain
e ffective
t hrough
t he
_ ___
d ay
o f
____________,
2 0
_ __,
u nless
s ooner
r evoked
i n
w riting
b y
t he
N atural
P arent(s).
6.
T his
P ower
o f
A ttorney
m ay
b e
t erminated
o r
r evoked
b y
t he
N atural
Parent(s),
a nd
i f
t wo,
b y
a ny
o ne
o f
t hem,
b y
d elivery
o f
a
w ritten
N otice
o f
Termination
t o
t he
A ttorney-‐in-‐Fact
a t
a ny
t ime.
7.
A ny
p erson
m ay
r ely
u pon
t he
c ontinued
e ffectiveness
o f
t his
P ower
o f
Attorney
a nd
t he
c ontinued
p owers
o f
t he
A ttorney-‐in-‐Fact,
u nless
o r
u ntil
s uch
person
h as
r eceived
a ctual
n otice
o f
t he
t ermination
o f
s ame.
8.
N atural
P arent(s)
f urther
d eclare
t hat
a ny
a ct
o r
t hing
l awfully
d one
hereunder
a nd
w ithin
t he
p owers
h erein
s tated
b y
s aid
A ttorney-‐in-‐Fact
s hall
b e
binding
o n
t he
N atural
P arent(s)
a nd
t heir
h eirs,
l egal
a nd
p ersonal
r epresentatives
and
a ssigns.
IN
W ITNESS
W HEREOF,
I /We
h ave
h ereunto
s et
m y/our
h and
a nd
s eal
t his
t he
_ ___
day
o f
_ ________,
2 0__
.
__________________________
Witnesses:
N ame
a nd
A ddress
_ _________________________
__________________________
__________________________
Witnesses:
N ame
a nd
A ddress
_ _________________________
__________________________
__________________________
W itnesses:
N ame
a nd
A ddress
_________________________
__________________________
__________________________
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