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_SETUP.1
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POAJNT.BLD
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1997-07-22
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#4400
@001 State the name of the principal (person giving power):
~Enter the name of the person who is granting a power of attorney
~to others (called the principal.)
@440 Enter the place of residence of the principal:
~Enter the city and state where the principal resides. For
~example, Denver, Colorado.
@700/@700 Select the proper pronoun for the principal:
~Select the pronoun for the person making the power of attorney
~(principal.)
his
her
@701 Enter the names of the attorneys.
~Enter the name of the persons appointed as your attorneys in
~fact. The term "attorney" does not imply or require that the
~persons be licensed as lawyers.
#4401
#4402
#4403
#4404
#6000
#4406 Will the attorney have other authority?
~Select "yes" if there are powers other than asset management you
~wish to give to the attorney.
#if#4406
@448 State the authority NARROWLY and PRECISELY:
~Enter a brief and narrow description of the authority.
#endif
#4407
@003 Enter the state where signed:
~Enter the name of the state where this document was signed. For
~example: Ohio.
@004 Enter the county where signed:
~Enter the county or parish where this document is being
~executed.
#end control section
#4400
/* 4400.arm--- Springing power of attorney */
POWER OF ATTORNEY
@001, the "principal," of @440, herewith appoints the following
persons as @700 attorney in fact, with the same authority as
Principal would have to do the following acts:
@701
Such persons shall exercise this power jointly and severally.
#4401
/* 4401-- bank accounts */
To conduct any and all business regarding my deposit accounts,
loans, safe deposit box, or other banking business at any bank,
credit union or other financial institution. This power shall
specifically include, but is not limited to the right to deposit,
withdraw, sign checks or drafts, make stop payment orders, and to
conduct any banking transactions necessary or possible in regard
to my banking relationship with any and all banks.
#4402
/* 4402 Deeds */
To manage any and all real estate which I own, lease or have an
interest in and to execute a deeds, leases, contracts for sale
and purchase or other instruments in regard to any real estate
interests which I hold regardless of where located.
@445
#4403
/* Para 4403: Education records */
To examine and to order copies of any and all of my educational
records, including both financial and student loan and health
related records, at any colleges, schools or other educational
institutions.
#6000
To manage, sell, lease, repair, borrow on the credit of, or
otherwise deal with all of my personal and intangible personal
property.
#4406
/* Para. 4406: General */
To act for me in the regard to the following:
@448
#4407
/* Para. 4407: End of poa */
This power of attorney shall not become effective until I am
determined to be unable to manage my own financial affairs. Such
determination shall be made in writing by my primary treating
physician at the time, or a board certified neurologist or
psychiatrist. Any third party may rely upon the representation of
my attorney in fact that this determination has been made.
This power of attorney is intended to be a durable power of
attorney and the power shall not be revoked or lapse due to my
incapacity or disability.
NOTICE
THIS GENERAL POWER OF ATTORNEY IS A BINDING AND IMPORTANT LEGAL
INSTRUMENT AND GIVES BROAD AUTHORITY TO YOUR ATTORNEY IN FACT TO
MANAGE, SELL OR DISPOSE OF ALL OF YOUR PROPERTY.
THIS POWER WILL GO INTO EFFECT UPON YOUR DISABILITY ONCE
CERTIFIED BY YOUR PRIMARY TREATING PHYSICIAN OR A BOARD CERTIFIED
NEUROLOGIST OR PSYCHIATRIST AND WILL REMAIN IN EFFECT UNTIL YOU
REGAIN CAPACITY.
_____________________________________________________
@001, As Principal
STATE OF @003
COUNTY OF @004
@001 personally appeared before me and acknowledged the execution
of this power of attorney for the purposes set forth therein.
Dated: _______________________________
__________________________________________
Notary Public