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Durable Power of Attorney

KNOW ALL MEN BY THESE PRESENTS, That I, __________ , (NAME) residing at , ______________ , (ADDRESS), do hereby appoint ______________ (NAME) , residing at ______________, (ADDRESS) my true and lawful attorney, in fact, for me and in my name, place, and stead, and for my use and benefit:

To demand, sue for, recover, collect, and receive all sums of money, debts, accounts, legacies, bequests, interest, dividends, annuities, and demands whatsoever as are now or shall hereafter become due, owing, payable, or belonging to me and have, use, and take all lawful means for the recovery thereof, and to compromise and give discharges for the same;

For me and in my name, to make, deliver, bargain, sell, contract, agree for, purchase, receive, and take any and all legal actions with respect to my financial affairs and/or personal property and/or real property including but not limited to the endorsement of checks, drafts, notes, bills of sale, titles and any other commercial paper in my name and to withdraw money from any of my checking and/or savings accounts and to sign orders or receipts thereof in my name and to convey and/or transfer title to any of my motor vehicles.

Giving and granting unto said attorney-in-fact full power and authority to do and perform every act and thing necessary, to be done in and about relative to any of the foregoing as fully as I might or could do if personally present.

All power and authority granted herein shall not be affected by my disability, incapacity, or adjudged incompetency.


IN WITNESS WHEREOF, I have hereunto signed my name this ____ day of _________,






_____________________________ __________________________

Witness Witness




State of __________________)

County of __________________)

Before me, a notary public in and for said County and State, personally appeared the above-named who acknowledged that he did sign the foregoing instrument and that the same is free and voluntary act and deed.

In testimony whereof, I have hereunto set my hand and official seal this ____ day of ____________, 20___.



Notary Public

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