TENNESSEE POWER OF ATTORNEY

This Power of Attorney ("POA") is granted on this [EFFECTIVE DATE], at [PLACE OF EXECUTION], by [YOUR NAME], having an address at [YOUR COMPANY ADDRESS], hereinafter referred to as the "Principal".

I. APPOINTMENT OF ATTORNEY IN FACT/AGENT

I, [YOUR NAME], appoint [ATTORNEY-IN-FACT'S NAME] located at [ATTORNEY-IN-FACT'S ADDRESS] as my attorney-in-fact/agent (“Attorney”), to act for me in any lawful way concerning the following initialed subjects:

II. Scope Authority

This Power of Attorney document provides the designated Agent with the granted authority to perform actions and make decisions on behalf of the Principal when it comes to a variety of matters. These matters include but may not be exclusive to fields such as finance, law, and healthcare, all of which are carefully specified and outlined within this document.

III. Revocation Clause

The Principal reserves the right to revoke this Power of Attorney at any time by providing written notice to the Agent.

• The Principal retains the authority to revoke this Power of Attorney at any given time by issuing written notice to the Agent.

• Revocation of this Power of Attorney is permissible by the Principal through formal written communication to the Agent.

• The Principal holds the prerogative to revoke this Power of Attorney at their discretion, with the provision of written notification to the Agent.

IV. Specific Powers

1. Financial Matters

   The Agent is authorized to manage and conduct all financial transactions and affairs on behalf of the Principal, including but not limited to banking, investments, taxes, and real estate.

2. Legal Matters

   The Agent is authorized to represent the Principal in all legal matters, including signing contracts, initiating legal actions, and engaging legal counsel.

3. Medical Matters

   The Agent is authorized to make healthcare decisions for the Principal, including consenting to medical treatment, accessing medical records, and making end-of-life decisions.

4. Incapacity Provisions:

   This Power of Attorney shall become effective upon the incapacity of the Principal, as determined by [insert relevant determination method, e.g., written certification from a physician].

V. Governing Law

This Power of Attorney shall be governed by and construed under the laws of the State of Tennessee.

VI. Miscellaneous Provisions

• Any dispute arising out of or in connection with this Power of Attorney shall be resolved through arbitration under the laws of Tennessee.

• If any provision of this Power of Attorney is found to be invalid or unenforceable, the remaining provisions shall remain in full force and effect.

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VII. Signatures and Notary

ACKNOWLEDGEMENT OF THE PRINCIPAL

This Power of Attorney shall be effective immediately upon my signature and shall remain valid until my explicit and written revocation.

[YOUR NAME]

[DATE]

ACCEPTANCE OF THE AGENT

I, [AGENT NAME], acknowledge that I have read and understood the terms and responsibilities outlined in this Power of Attorney document. I accept the appointment as Agent and agree to act under the instructions and limitations provided herein.

[AGENT'S NAME]

[DATE]

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WITNESS ACKNOWLEDGEMENT

We, the undersigned witnesses, hereby acknowledge that the above-named Principal has signed this Power of Attorney in our presence on the date stated above.

Witness 1:

[Witness 1 full name]

[Date]

Witness 2:

[Witness 2 full name]

[Date]

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NOTARY ACKNOWLEDGEMENT

On this            day of               in the year                , before me, a Notary Public in and for said County and State, personally appeared [Your Name], known to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged that they executed the same for the purposes therein contained.

Witness my hand and official seal.

[Notary Public's Name]

My Commission Expires:           

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