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Fill and Sign the Durable Power Attorney 481377981 Form

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DURABLE POWER OF ATTORNEY STATE OF ALABAMA ) _______________ COUNTY ) KNOW ALL MEN BY THESE PRESENTS, That I, ______________________ , in accordance with Title 26 -1-2 of the 1975 Code of Alabama, as amended, have made, constituted and appointed, arid by these presents do make, constitute and appoint my ______________________ , my true and lawful attorney to operate for me and in my name, place and stead, and for my use and benefit. This power of attorney sh all not be affected by my disability, incompetency or incapacity. My said attorney in fact is hereby empowered to ask, demand, sue for, recover, collect and receive all such sums of money, debts, dues, accounts, legacies, bequests, interests, divi dends, a nnuities and demands whatsoever as are now, or shall hereafter become due, owing, payable or belonging to me, and have, use and take all lawful ways and means in my name or otherwise for the recovery thereof, to bargain, contract, agree for, purchase, rece ive and take lands, tenements, hereditaments, and accept the seizing and possession of all lands and all deeds and other assurances, in the law therefor, and to lease, let, demise, bargain, sell, remise, release, convey, mortgage and hypothecate lands, ten ements and heredi taments, upon such terms and conditions, and under such covenants as ______________________ shall think fit. Also, to bargain and agree for, buy, sell, mortgage, hypothecate and in any and every way and manner deal in and with goods, wares, and merchandise, choses in action and other property in possession o r in action, and to make, do, and transact all and every kind of business of what nature or kind soever, and also for me and in my name, and as my act and deed, to sign, seal, execute, deliver and acknowledge such deeds, leases and assignment of leases, co venants, indentures, agreements, mortgages, hypothecations, bills, bonds, notes, receipts, evidences of debts, releases and satisfaction of mortgages, judgments and other debts, and such other instruments in writing of whatever kind and nature as may be ne cessary or proper in the premises. Giving and granting unto my said attorney full power and authority to do and perform all and every act and thing whatsoever re quisite and necessary to be done in and about the premises as fully to all intents and purposes as I might or could do if personally present, with full power of substitution or revocations, hereby ratifying and confirming all that my said attorney, shall l awfully do or cause to be done by virtue of these presents. In the event that it shall become necessary for a guardian to be appointed over my estate, I hereby request that in accordance with Title 26 -1-2 (c) (2) of the 1975 Code of Alabama, as amended, t hat the court appoint as my guardian my ______________________ . WITNESS my hand this _______________ day of _______________ , _______________ . ____________________________________ Principal STATE OP ALABAMA ) _______________ COUNTY ) I, ______________________ , a Notary Public in and for said County and State, hereby certify that ______________________ whose name is signed to the foregoing Power or Attorney and who is known to me, acknowledged before me on this day that, being of the contents of the said instrument, he execute d the same voluntarily on the day the same bears date. Given under my hand this _______________ day of _______________ , _______________ . ______________________________ NOTARY PUBLIC

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