Legal Oath of Designation

LEGAL OATH OF DESIGNATION

This Legal Oath of Designation is executed on this day of , by Designator Name: residing at and in favor of Designee Name: residing at .

RECITALS

WHEREAS, the Designator is legally competent and possesses the authority and capacity to appoint a representative to act on the Designator's behalf with respect to the matters described herein; and

WHEREAS, the Designator desires to designate the Designee to perform specified acts, and the Designee is willing to accept such designation and to take an oath of office, fidelity and conformity to the duties and limitations set forth in this instrument; and

WHEREAS, the parties intend that this Oath of Designation be a binding legal instrument and an explicit delegation of authority subject to the terms, limitations and obligations set forth below.

NOW, THEREFORE, in consideration of the mutual covenants contained herein, the parties agree as follows:

1. APPOINTMENT

The Designator hereby appoints the Designee as the Designated Agent, with the authority to act in the Designator's name and stead to the extent and for the purposes described in Section 3 below. This appointment is made voluntarily and with full knowledge of its legal effect.

2. ACCEPTANCE AND OATH

The Designee accepts the appointment and hereby takes the following oath: I, , do solemnly swear (or affirm) that I will faithfully and diligently perform the duties and exercise the powers conferred upon me by this Oath of Designation, that I will act in good faith, with loyalty, and in the best interests of the Designator, and that I will comply with all applicable laws and the terms of this instrument. This oath is made under penalty of perjury.

3. POWERS AND DUTIES

Subject to the limitations stated in Section 4, the Designee shall have the power and duty to:

Powers granted under this Section include, without limitation, the authority to execute, endorse, deliver, modify and terminate agreements; to instruct financial institutions; to access records and information reasonably necessary to perform the designated functions; and to take any lawful action reasonably necessary to effectuate the purposes of this designation.

4. LIMITATIONS

The Designee shall not, unless expressly authorized in writing by the Designator: (a) make or revoke a will or testamentary instrument on behalf of the Designator; (b) consent to major medical procedures on behalf of the Designator; (c) make gifts of the Designator's assets; or (d) take any action that would result in personal financial benefit to the Designee except as expressly authorized herein. Any action taken in excess of authorized powers shall be void and the Designee shall be personally liable for resulting losses.

5. TERM

This designation shall become effective on the date of execution by both parties and shall continue until:

Until revoked in writing by the Designator
For a fixed period ending on

6. REPRESENTATIONS AND WARRANTIES

Each party represents and warrants that: (a) it has full authority to enter into this Oath of Designation; (b) the individual signing on behalf of a party is duly authorized to do so; and (c) the execution and performance of this Oath of Designation will not violate any law, contractual obligation, or court order applicable to that party.

7. INDEMNIFICATION

The Designator agrees to indemnify and hold harmless the Designee from and against any and all claims, liabilities, losses, costs and expenses (including reasonable attorneys' fees) arising from actions taken by the Designee in good faith pursuant to this designation. The Designee shall not be indemnified for actions arising from the Designee's fraud, willful misconduct, gross negligence or breach of this Oath.

8. NOTICES

All notices, requests, consents, claims, demands and other communications required or permitted under this Oath of Designation shall be in writing and addressed as follows:

9. GOVERNING LAW

This Oath of Designation shall be governed by and construed in accordance with the laws of the State of , without regard to principles of conflicts of law.

10. ENTIRE AGREEMENT; SEVERABILITY

This Oath of Designation constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, understandings and communications, whether written or oral. If any provision of this Oath is held to be invalid, illegal or unenforceable, the remaining provisions shall continue in full force and effect.

11. AMENDMENTS; WAIVER; COUNTERPARTS

No amendment or waiver of any provision of this Oath shall be effective unless in writing and signed by both parties. No failure or delay by any party in exercising any right shall be deemed a waiver. This Oath may be executed in counterparts, each of which shall be an original and all of which together shall constitute one instrument.

12. ACKNOWLEDGMENT

The parties acknowledge that they have read this Oath of Designation, understand its terms, and agree that the statements contained herein are accurate and complete. The Designator acknowledges that the appointment is made knowingly and voluntarily. The Designee acknowledges that acceptance of this designation creates fiduciary obligations and that the Designee will faithfully perform such obligations in accordance with this instrument.

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