Legal Appointment Instrument

LEGAL APPOINTMENT INSTRUMENT

This Legal Appointment Instrument (the Instrument) is made and entered into as of Effective Date: by and between Principal Name: with Primary Address: (hereinafter "Principal"), and Agent Name: with Primary Address: (hereinafter "Agent").

RECITALS

WHEREAS, the Principal desires to appoint the Agent to act on the Principal's behalf with respect to certain legal and administrative matters as set forth herein;

WHEREAS, the Agent has represented that the Agent is willing and able to undertake the duties, responsibilities, and powers conferred by this Instrument; and

WHEREAS, the parties intend that third parties may rely upon actions taken by the Agent within the scope of the authority granted in this Instrument.

NOW, THEREFORE, in consideration of the mutual covenants stated herein and other good and valuable consideration, the sufficiency of which is acknowledged, the parties agree as follows:

1. APPOINTMENT

The Principal hereby appoints the Agent as the Principal's lawful agent and attorney-in-fact, granting the Agent the authority to act in the Principal's name, place and stead to perform all acts necessary or convenient to exercise the powers described in this Instrument, subject to the limitations set forth herein.

2. SCOPE OF AUTHORITY

Subject to Section 3 (Limitations), the Agent is authorized, without prior approval, to take any one or more of the following actions on behalf of the Principal where such actions are reasonably necessary to accomplish the purposes of this Instrument:

Authority Selections: Initiate, defend, settle, and compromise legal actions and administrative proceedings
Execute, acknowledge, deliver and record instruments, contracts, and other documents
Manage financial accounts and sign checks, drafts and other instruments for disbursement
Conduct transactions affecting real or personal property including conveyances and leases
Other powers as specified below

3. LIMITATIONS ON AUTHORITY

The Agent shall not, without the Principal's prior written consent, (a) make, amend or revoke the Principal's will or testamentary dispositions; (b) make gifts of the Principal's property; (c) engage in transactions where the Agent has a conflict of interest unless fully disclosed and consented to in writing; or (d) exercise authority in any manner inconsistent with the Principal's known instructions.

4. TERM; TERMINATION

This Instrument shall commence on the Effective Date and shall continue until Termination Date: unless earlier revoked by the Principal in accordance with Section 9 or terminated by operation of law.

5. ACCEPTANCE OF APPOINTMENT AND DUTIES

By accepting this appointment, the Agent agrees to act in good faith, to exercise reasonable care, and to keep accurate records of all actions taken on behalf of the Principal. The Agent shall not commingle the Principal's funds with the Agent's own funds and shall segregate funds when required by law.

6. COMPENSATION AND EXPENSES

The Agent shall be entitled to reasonable compensation for services rendered if agreed in writing. If compensation is agreed, the amount or method is:

The Agent is also entitled to reimbursement for reasonable out-of-pocket expenses incurred in the performance of duties under this Instrument, subject to the Principal's prior approval where practicable.

7. THIRD-PARTY RELIANCE

Third parties may rely upon a copy of this Instrument and upon any instrument executed by the Agent within the scope of the Agent's authority. A third party who acts in reliance upon such representations shall not be liable to the Principal or Agent for actions taken in good faith.

8. INDEMNIFICATION

The Principal agrees to indemnify and hold harmless the Agent from and against any and all liabilities, losses, costs, and expenses (including reasonable attorneys' fees) incurred by the Agent in connection with actions taken in good faith under this Instrument, except for losses resulting from the Agent's gross negligence or willful misconduct.

9. REVOCATION

The Principal may revoke this Instrument at any time by delivering written notice of revocation to the Agent. Revocation shall be effective upon actual receipt by the Agent. The Agent shall, upon receipt of any revocation, promptly notify any third party relying on the Agent's authority where the Agent has knowledge of such reliance.

10. NOTICES

All notices, requests, consents, and other communications under this Instrument must be in writing and delivered to the addresses below (or to such other address as either party may designate by written notice):

11. AMENDMENTS; WAIVER

This Instrument may be amended or supplemented only by an instrument in writing signed by both the Principal and the Agent. No waiver of any provision of this Instrument shall be effective unless in writing and signed by the party against whom enforcement is sought.

12. GOVERNING LAW

This Instrument shall be governed by and construed in accordance with the laws of the State or jurisdiction of Principal's residence at the time of execution, without regard to conflict of laws principles.

13. ENTIRE AGREEMENT; SEVERABILITY

This Instrument constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior agreements and understandings, whether written or oral. If any provision of this Instrument is held invalid or unenforceable, the remaining provisions shall continue in full force and effect to the maximum extent permitted by law.

14. COUNTERPARTS; FACSIMILE SIGNATURES

This Instrument may be executed in counterparts, each of which shall be deemed an original, and all of which together shall constitute one and the same instrument. Signatures transmitted by facsimile or other electronic means shall be considered effective for all purposes.

ACKNOWLEDGEMENT

Each party acknowledges that they have read and understand this Instrument, that they are legally competent to execute it, and that they execute it voluntarily and with full knowledge of its legal effect.

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