State Of Ohio Statutory Form Power Of Attorney Cover Letter Page 3

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STATE OF OHIO
STATUTORY FORM POWER OF ATTORNEY
IMPORTANT INFORMATION
1) This power of attorney authorizes another person (your agent) to make decisions
concerning your property for you (the principal). Your agent will be able to make
decisions and act with respect to your property (including your money) whether or not
you are able to act for yourself. The meaning of authority over subjects listed on this
form is explained in the Uniform Power of Attorney Act (sections 1337.21 to 1337.64 of
the Revised Code).
2) This power of attorney does not authorize the agent to make health-care decisions for
you.
3) You should select someone you trust to serve as your agent. Unless you specify
otherwise, generally the agent's authority will continue until you die or revoke the
power of attorney or the agent resigns or is unable to act for you.
4) Your agent is entitled to reasonable compensation unless you state otherwise in the
Special Instructions.
5) This form provides for designation of one agent. If you wish to name more than one
agent you may name a coagent in the Special Instructions. Coagents are not required
to act together unless you include that requirement in the Special Instructions.
6) If your agent is unable or unwilling to act for you, your power of attorney will end
unless you have named a successor agent. You may also name a second successor
agent.
7) This power of attorney becomes effective immediately unless you state otherwise in
the Special Instructions.
ACTIONS REQUIRING EXPRESS AUTHORITY
Unless expressly authorized and initialed by me in the Special Instructions, this power
of attorney does not grant authority to my agent to do any of the following:
(1) Create a trust;
(2) Amend, revoke, or terminate an inter vivos trust, even if specific authority to do so
is granted to the agent in the trust agreement;
(3) Make a gift;
(4) Create or change rights of survivorship;
(5) Create or change a beneficiary designation;
(6) Delegate authority granted under the power of attorney;
(7) Waive the principal's right to be a beneficiary of a joint and survivor annuity,
including a survivor benefit under a retirement plan;
(8) Exercise fiduciary powers that the principal has authority to delegate.
State of Ohio ‐ Statutory Form Power of Attorney 
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