Power Of Attorney - General With Durable Power Of Attorney Form Page 3

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I have read the foregoing notice and I understand the legal and fiduciary duties that I assume by acting or
agreeing to act as the agent ( attorney-in-fact) under the terms of this power of attorney.
Date: __________________________________
___________________________________________
Print name of Agent
___________________________________________
Signature of Agent
GIVING AND GRANTING unto my said Attorney full power and authority to do and perform all and every act
and thing whatsoever requisite, necessary or appropriate to be done in and about the premises as fully to all intents
and purposes as I might or could do if personally present, hereby ratifying all that my said Attorney shall lawfully do
or cause to be done by virtue of these presents. The powers and authority hereby conferred upon my said Attorney
or cause to be done by virtue of these presents. The power herein conferred upon him/her shall be exercised, and
the whatever situate.
My said Attorney is empowered hereby to determine in his/her sole discretion the time when, purpose for and
manner in which any power herein conferred upon him/her shall be exercised, and the conditions, provisions and
covenants of any instrument or document which may be executed by him/her pursuant hereto; and in the acquisition
or disposition of real or personal property, my said Attorney shall have exclusive power to fix the terms thereof for
cash, credit and/or context so requires, the masculine gender includes the feminine and/or neuter, and the singular
number includes the plural.
WITNESS my hand this ______ day of ____________________, _________.
_________________________________________________
________________________________________________
STATE OF _______________________)
COUNTY OF _____________________)
ON ______________________, before me, __________________________________________, Notary Public,
personally appeared ______________________who proved to me on the basis of satisfactory evidence to be the person(s)
whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity
upon behalf of which the persons(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the law of the State of California that the foregoing paragraph is
true and correct.
Witness my hand and official seal.
Signature _________________________________________(Seal)

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