Please fill out the form with your information below.
I, the undersigned Principal, hereby appoint the above-named Attorney-in-Fact to act in my name, place, and stead to execute the following powers:
Manage financial transactions.
Conduct real estate transactions.
Make healthcare decisions.
File taxes and handle government documents.
This Power of Attorney is effective:
Immediately upon signing.
On the following date:
State of
County of
On this
Principal
Date:
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