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Power of Attorney Form

Prepared for:

[Attorney.FirstName][Attorney.LastName]

Created by:

[Sender.FirstName][Sender.LastName]

General Power of Attorney of [Attorney.FirstName][Attorney.LastName]

I, [Sender.FirstName][Sender.LastName], of [Sender.StreetAddress][Sender.City][Sender.State][Sender.PostalCode], hereby authorize [Attorney.FirstName][Attorney.LastName] of [Attorney.StreetAddress][Attorney.City][Attorney.State][Attorney.PostalCode], to act as my agent (hereinafter my “Attorney-in-Fact”), to act for me and in my name for my use and benefit in the matters I have listed below.

The signing and dating of this form will hereby revoke any and all previous powers of attorney that have been executed in the past. If my Attorney-in-Fact is unable to act for me for whatever reason, I name [AlternativeAttorney.FirstName][AlternativeAttorney.LastName]of [AlternativeAttorney.StreetAddress][AlternativeAttorney.City][AlternativeAttorney.State][AlternativeAttorney.PostalCode]to act as my successor Attorney-in-Fact.

I. Effective date

(MM.DD.YYYYY)

II. Powers

I confer upon my Attorney-in-Fact the power to act on my behalf, as if I were present, and to exercise or perform the acts or powers I have designated with my initials as set forth below. The Attorney-in-Fact is not permitted to conduct activities that I have not initiated unless I have initiated the section that authorizes all of the above activities to be conducted.

Real property

I designate my Attorney-in-Fact to act on my behalf in regard to all real property in my name, including but not limited to the signing of documents on my behalf pertaining to any and all real estate or real property. This includes but is not limited to the purchase, sale, exchange, rent collection, mortgage, or lease in regards to my real estate property. The Attorney-in-Fact is empowered to execute real property legal documents such as deeds, transfers, mortgages, leases, releases, and any other document as it relates to real estate.

Banking

The Attorney-in-Fact is empowered to act on my behalf with banks and other financial institutions, including but not limited to the opening, maintaining, or closing of checking accounts, savings accounts, certificates of deposits, credit accounts, brokerage accounts, retirement accounts, and other accounts which may be handled by a financial institution.

The Attorney-in-Fact may make deposits and withdrawals, obtain bank statements, endorse checks, issue money orders, or otherwise handle banking documents made payable to my person. The Attorney-in-Fact is empowered to access any safe deposit box in my name, including its contents, as well as create or deliver financial statements as needed from the bank or financial institution. The Attorney-in-Fact is also empowered to borrow money from a bank or financial institution on my behalf and to manage any and all aspects of the loan process.

Business activities

The Attorney-in-Fact is empowered to act on my behalf in regard to my business operations and transactions. Business activity powers include but are not limited to executing contractual amendments pertaining to the business; drafting and executing new business contracts to incorporate, reorganize, consolidate, merge, sell, or dissolve any part of the business; hiring, transferring, or terminating personnel employed by the business; exercising voting rights in relation to board seats I hold; and exercising voting rights in regard to any stock I may own.

Litigation

The Attorney-in-Fact is empowered to act on my behalf to conduct the following activities pertaining to legal proceedings for or against me: initiate, continue, compromise, arbitrate, terminate, or defend any and all actions and suits for or against me. The Attorney-in-Fact may appear in court or arbitration on my behalf and may take action in those cases as necessary.

Retirement

The Attorney-in-Fact is empowered to act on my behalf to handle and manage my retirement savings and pension plans, including but not limited to the ability to make contributions, adjust contribution amounts and frequency, revise beneficiaries, and receive or manage payouts.

Insurance

The Attorney-in-Fact is empowered to act on my behalf to conduct insurance-related activities, including but not limited to paying premiums, managing payouts, borrowing for collateral purposes, starting or modifying policies, and changing beneficiaries.

Taxation

The Attorney-in-Fact is empowered to prepare, sign, and file documents with governmental agencies regarding my taxes, including but not limited to income tax returns with the federal or state government. The Attorney-in-Fact is permitted to obtain official taxation documents from any organization or agency on my behalf and negotiate or settle any tax matters with the appropriate governing agency.

Family

The Attorney-in-Fact is empowered to act on my behalf to provide care for my family, including but not limited to paying for medical care, food, shelter, travel, clothing, education, or other normal living costs. My family includes any of my dependent children, my spouse, or other individuals I am voluntarily or legally required to support.

Gifts

The Attorney-in-Fact is empowered to give and receive monetary gifts on my behalf.

I authorize my Attorney-in-Fact to act on all of the above activities on my behalf.

III: Compensation

My Attorney-in-Fact shall not be compensated for activities performed on my behalf except to provide compensation for out-of-pocket expenses my Attorney-in-Fact incurs while representing me.

IV: Governing law

The power of attorney form is to be understood as a general power of attorney. The form is executed in the State of (State) and the laws of the State will govern the validity and enforceability of this form.

V: Signatures

IN WITNESS WHEREOF, I have executed this power of attorney form on /date field

[Sender.Company]
Signature
MM/DD/YYYY
[Sender.FirstName][Sender.LastName]
[Client.Company]
Signature
MM/DD/YYYY
[Client.FirstName][Client.LastName]

Power of Attorney Form

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