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    DSSV

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    kmrcaranto
    This document appoints an agent to act on behalf of the principal. It allows the principal to designate substitute agents and revoke previous powers of attorney. The power of attorney becomes effective on a specified date and expires on another unless revoked earlier in writing.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    DSSV

    Uploaded by

    kmrcaranto
    9 views2 pages
    This document appoints an agent to act on behalf of the principal. It allows the principal to designate substitute agents and revoke previous powers of attorney. The power of attorney becomes effective on a specified date and expires on another unless revoked earlier in writing.

    Copyright

    © © All Rights Reserved

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    This document appoints an agent to act on behalf of the principal. It allows the principal to designate substitute agents and revoke previous powers of attorney. The power of attorney becomes effective on a specified date and expires on another unless revoked earlier in writing.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    9 views2 pages

    DSSV

    Uploaded by

    kmrcaranto
    This document appoints an agent to act on behalf of the principal. It allows the principal to designate substitute agents and revoke previous powers of attorney. The power of attorney becomes effective on a specified date and expires on another unless revoked earlier in writing.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Limited Power of Attorney

    I, the undersigned

    (Full legal names) _________________________

    (SS/Identity number) _________________________ residing at _________________________

    hereby appoint and authorize

    (Full legal names) _________________________

    (SS/Identity number) _________________________ residing at _________________________

    as my Attorney-in-Fact (Agent) and with the power of attorney, delegation and substitution, to perform
    acts on my behalf which I have the power and capacity to perform.

    If my Agent is unable to act on my behalf by reason of absence or by reason of mental incapacity or


    bankruptcy or unable or unwilling to serve for any other reason, I designate

    (Full legal names) _________________________

    (SS/Identity number) _________________________ residing at _________________________

    as substitute Agent with the same general power of attorney.

    1. I hereby revoke any and all previous powers of attorney signed by me except for my Power of
    Attorney for Health Care which shall remain in force.

    2. This power of attorney shall become effective on the ____ day of _______________ 20____

    and shall expire on the ____ day of _______________ 20____

    or at an earlier date if revoked by me in writing.

    3. This document shall be construed and interpreted as a general power of attorney and my Agent shall
    have full authority to act on my behalf in relation to all my property and affairs.

    OR

    3. This document shall be construed and interpreted as a general power of attorney and my Agent shall
    have full authority to act on my behalf in relation to my property and affairs, save for the following
    conditions and restrictions:

    3.1. _________________________

    3.2. _________________________

    Page 1 of 2
    4. I furthermore grant my Agent the authority to:

    4.1. Make gifts within gift tax limits except to himself / herself.
    4.2. Execute, amend or revoke any trust agreement.
    4.3. Exercise the right to make a disclaimer on my behalf.

    5. I indemnify and hold harmless my Agent from any loss that results from an error in judgment that was
    made in good faith, save for wilful misconduct or the failure to act in good faith under the authority of this
    power of attorney.

    6. I authorize my Agent to indemnify any third party from any claims which may arise against the third
    party because of reliance on this power of attorney.

    7. My Agent shall provide accurate records of all transactions completed on my behalf and shall provide
    accounting records within ____ days if I so request or if a request is made by any other authorized
    representative acting on my behalf.

    8. My Agent shall be entitled to reasonable compensation for his / her services at a rate as set out by law
    and for reimbursement of all reasonable expenses incurred on my behalf in his / her duties as my Agent.

    Executed this ____ day of _______________ 20____ at _________________________

    Signature: _________________________

    in the presence of the undersigned witnesses:

    Witness 1. Name: _________________________ Address: _________________________

    Signature: _________________________

    Witness 2. Name: _________________________ Address: _________________________

    Signature: _________________________

    Acknowledgement

    This document was acknowledged before me on this ____ day of _______________ 20____
    by _________________________ (Principal's full legal names) who is personally known to me or who
    has provided identification in the form of _________________________.

    Signature of Notary Public _________________________

    Full legal names _________________________

    My commission expires _________________________

    State of _________________________ County of _________________________

    Page 2 of 2

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