State Of Ohio Statutory Form Power Of Attorney Cover Letter (Page 6 of 9) in pdf

State Of Ohio Statutory Form Power Of Attorney Cover Letter Page 6

SPECIAL INSTRUCTIONS (OPTIONAL)

You may give special instructions on the following lines:

__________________________________________________________________________

EFFECTIVE DATE

This power of attorney is effective immediately unless I have stated otherwise in the

Special Instructions.

NOMINATION OF GUARDIAN (OPTIONAL)

If it becomes necessary for a court to appoint a guardian of my estate or my person, I

nominate the following person(s) for appointment:

Name of Nominee for guardian of my estate: _____________________________________

Nominee’s Address: _________________________________________________________

Nominee’s Telephone Number: (

) ___________________________________

Name of Nominee for guardian of my person: _____________________________________

Nominee’s Address: _________________________________________________________

Nominee’s Telephone Number: (

) ___________________________________

State of Ohio ‐ Statutory Form Power of Attorney

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State Of Ohio Statutory Form Power Of Attorney Cover Letter Page 6