Fillable Power Of Attorney Template printable pdf download

Power Of Attorney Template

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POWER OF ATTORNEY

KNOW ALL PERSONS that I, ______________________________________, of

____________________________, Maine, appoint ________________________________,

of ____________________________, Maine, to be my lawful attorney-in-fact regarding my

minor child[ren]:

______________________________ born on _____________________________

I hereby grant to my attorney-in-fact, _________________________________, all of my

powers regarding the care and custody of the above-named children, except my power to consent

to marriage or adoption of my minor child[ren] and my power to sell, transfer, convey or

otherwise manage any real or personal property belonging to my minor child[ren].

I hereby intend that my attorney-in-fact have the same full authority as I have to consent

to, or withhold consent to, any medical or other professional care, counsel, treatment or service

to said minor child[ren] by a licensed or certified professional person or institution engaged in

the practice of, or providing, a healing art.

The rights, power and authority herein granted shall remain in full force and effect until

____________________________ (up to 12 months) or until terminated by a written Revocation

of Power of Attorney signed by me, whichever happens first. This Power of Attorney shall not

be affected by my disability or incapacity. The authority herein granted to my attorney-in-

fact,_______________________________, is exercisable by him or her, notwithstanding my

later disability or incapacity or later uncertainty as to whether I am dead or alive.

IN WITNESS WHEREOF I have hereunto set my signature this _____day of _____________,

20 __.

____________________________________

(Signature)

STATE OF MAINE

______________________________, ss.

Personally appeared the above named ____________________________________and

acknowledged the foregoing instrument to be his free act and deed.

Before me,

___________________________________

Notary Public/Attorney at Law

Power Of Attorney Template

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