Fill and Sign the Information Access Guide Us Department of State

Prepared by: __________________________ After Recording, Return to: ______________________________________ (Full Name of Party) ____________________________ __________ (Company, if applicable) ______________________________________ (Street Address) ______________________________________ (City, State and Zip Code) Record in the following Recording District(s): ________________________________ LIMITED POWER OF ATTORNEY THE POWERS GRANTED FROM THE PRINCIPAL TO THE AGENT OR AGENTS IN THE FOLLOWING DOCUMENT ARE VERY BROAD. THEY MAY INCLUDE THE POWER TO DISPOSE, SELL, CONVEY, AND ENCUMBER YOUR REAL AND PERSONAL PROPERTY. ACCORDINGLY, THE FOLLOWING DOCUMENT SHOULD ONLY BE USED AFTER CAREFUL CONSIDERATION. IF YOU HAVE ANY QUESTIONS ABOUT THIS DOCUMENT, YOU SHOULD SEEK COMPETENT ADVICE. YOU MAY REVOKE THIS POWER OF ATTORNEY AT ANY TIME. STATE OF ALASKA ,RECORDING DISTRICT KNOW ALL MEN BY THESE PRESENT, THAT I _______________________________ , whose address is ________________ (City), ALASKA (State), ____________ (Zip), “Principal”, have made , constituted and appointed, and by these presents do make, constitute and appoint, ____________________________ my true and lawful attorney in fact to act with the following limited powers, to wit: Insert powers here. See examples at the end of this form _________________________________________________________________ ________________________ _________________________________________ _________________________________________________________________ FURTHER, I do authorize my aforesaid attorney -in-fact to execute, acknowledge and deliver any instrument under seal or otherwise, and to do all things necessary to carry out the intent hereof, hereby granting unto my said attorney -in-fact full power and authority to act in and concerning the premises as fully and effectually as I may do if personally present, limited, however, to the purpose for which this limited power of attorn ey is executed. PROVIDED, however, that all business transacted hereunder for me or for my account shall be transacted in my name, and that all endorsements and instruments executed by my said attorney -in-fact for the purpose of carrying out the foregoin g powers shall contain my name, followed by that of my said attorney and the designation "attorney -in-fact". I further declare that any act or thing lawfully done hereunder and within the powers herein stated by my s aid attorney shall be binding on myself and my heirs, legal and personal representatives and assigns, whether the same shall have been done either before or after my death, or other revocation of this instrument, unless and until reliable intelligence or n otice thereof shall have been received by my said attorney. This Power of Attorney shall be: Non -Durable. Durable and shall not be affected by any subsequent disability or incompetence. Third parties may rely upon the representations of the agents as to all matters relating to any power grante d to them hereunder, and no person who may act in reliance upon the representations of the agent or the authority granted to it shall incur any liability to the principal or his estate as result of permitting the agent to exercise any power. IN WITNESS WHEREOF, I have hereunto set my hand and seal this the _____ day of ____________, 20____. ______________________________________________ PRINCIPAL ATTESTATION The hereinafter named Witnesses, each declare under penalty of perjury under the laws of the State of Alaska, that the principal is personally known to us, that the principal signed and acknowledged this limited power of attorney in our presence, that the principal appears to be of sound mind and under no duress, fraud or und ue influence, that we are not the person appointed as attorney -in-fact by this document and that we witnessed this power of attorney in the presence of the principal. We are not related to the principal by blood, marriage or adoption, and to the best of ou r knowledge, are not entitled to any part of the estate of the principal upon the death of the principal under a will now existing or by operation of law. WITNESSES: WITNESSES: _______________________ ______ _______ Signature Print Name: __________________________ Address: _____________________________ City: ________________ State: ___________ Zip: __________ ______________________ _______ ________ Signature Print Name: ___________________________ Address: _________ _____________________ City: ________________ State: ___________ Zip: __________ STATE OF ALASKA } } _____________ JUDICIAL DISTRICT } The foregoing instrument was acknowledged before me on the _________ day of ____________ 20 by ___________________________ , an unmarried man . Notary Public for Alaska My Commission Expires: Principal – Name and Address: Attorney -in-Fact – Name and Address: (Complete Name of Principal) (Complete Name of Agent/Attorney -in-Fact) (Street Address) (Street Address) (City, Recording District/County, State, Zip) (City, Recording District/County, State,Zip) (Telephone number, including area code) (Telephone number, including area code) NOTICE: THESE ARE SAMPLE POWERS. Collection of Debts . To demand, collect, recover, sue for, receive and give receipt or release for any monies, debts, dividends, interests, royalties, legacies, annuities, demands, discounts, income, rents, profits, securities or other property of any sort, now or hereafter due or becoming due to me or to which I may be or hereafter become entitled. Endorsements . a) To endorse and negotiate for any and all purposes all promissory notes, bills of exchange, checks, drafts or other negotiable or non -negotiable paper payab le to me or to my order; b) To endorse for transfer all certificates of stock, bond or other securities; c) To endorse and cash United States Savings Bonds and notes. Executing Government Vouchers . To execute vouchers in my behalf for any and all allowances, compensation and reimbursements properly payable to me by the Government of the United States or any agency or department thereof. Depositing Money and Other Property . To deposit in my atto rney's or my name, or jointly in both our names, in any banking institution, funds or property, and to withdraw any part or all of my deposits at any time made by me in my behalf. Borrowing Money. To borrow money in my name when deemed necessary to my sa id attorney upon such terms as to my said attorney appear proper and to execute such instruments as may be requisite for such purpose. Acquisition of Property. To buy, receive, lease, accept or otherwise acquire in my name and for my account property, re al, personal or mixed, upon such terms, considerations and conditions as my said attorney shall think proper. Recovering Possession of Property. To eject, remove or relieve tenants or other persons from, and recover possession of, any property, real, pe rsonal or mixed in which I now or hereafter may have an interest. Litigation . To institute, maintain, defend, compromise, arbitrate or otherwise dispose of, any and all actions, suits, attachments or other legal proceedings for or against me. Tax Retur ns . To prepare and execute any tax returns, including, but not limited to, Federal income tax returns, State income tax returns, Social Security tax returns, and Federal and State information and estimated returns; to execute any claims for refund, protes ts, applications for abatement, petitions to the United States Board of Tax Appeals or any other Board or Court, Federal or State, consents and waivers to determination and assessment of taxes and consents and waivers agreeing to a later determination and assessment of taxes than is provided by statute of limitations; to receive and endorse and collect any checks in settlement of any refund of taxes; to examine and to request and receive copies of any tax returns, reports and other information from the Unit ed States Treasury Department or any other taxing authority, Federal or State, in connection with any of the foregoing matters. Automobiles . To execute and deliver to the proper persons and authority any and all documents, instruments and papers necessar y to effect proper registration of any automobile in which I now or may hereafter have an interest, or the sale thereof and transfer of legal title thereto as required by law, and to collect and receipt for all monies paid in consideration of such sale and transfer. Disposition of Property . To sell, assign, transfer, convey, exchange, deed, mortgage, pledge, lease, let, license, demise, remise, quitclaim, bargain or otherwise dispose of any or all of my real estate, stocks, bonds, evidences of indebtednes s and other securities and other personal tangible and intangible or mixed property, or any custody, possession, interest or right therein at public or private sale, upon such terms, consideration, and conditions as my said attorney shall deem advisable an d to execute, acknowledge and deliver such instruments and writings of whatsoever kind and nature as may be necessary, convenient or proper in the premises.