Fill and Sign the Power Attorney Poa Form

When Recorded mail to: ________________________ __________________________________________________________________________________________________________________________________________________________________GENERAL POWER OF ATTORNEY __________________________________________________________________________________________ Principal___________________________________ Attorney-In-Fact ____________________________ Address___________________________________ Address___________________________________ __________________________________________ _________________________________________ City/County/State/Zip City/County/State/Zip KNOW ALL MEN BY THESE PRESENTS, that I, as Principal, do hereby make, constitute, and appoi nt ______________________________________ as my true and lawful Attorney-In-Fact and to do the following: 1. To exercise or perform any act, power, duty, right, or obligation whatsoever that I now have, or may hereafter acquire the legal right, power, or capacity to exercise or perform, in connect ion with, arising from, or relating to any person, item, transaction, thing, business property, real or personal, tangibl e or intangible, or matter whatsoever. The Attorney-In-Fact shall use the my money, property, or other assets only in the my best interest and that the Attorney-In-Fact shall not use my mone y, property, or other assets for his/her benefit except as specifically described in detail and init ialed by myself and Witnesses in numbers 10 and 11 below. Failure to comply with this provision could subject the Attorney-In-Fact to criminal charges or civil liability. 2. To request, ask, demand, sue for, recover, collect, receive, and hold and possess all suc h sums of money, debts, dues, commercial paper, checks, drafts, accounts, deposits, legacies, bequests, devises, note s, interests, stock certificates, bonds, dividends, certificates of deposit, annuities, pension and retirement benefits, insurance benefits and proceeds, any and all documents of title, choices in action, personal and real property, intangible and tangible property and property rights, and demands whatsoever, liquidate d or unliquidated, as now owner shall hereafter become, owned by, or due, owing, payable, or belonging to me or in which I have or may hereafter acquire interest, to have, use, and take a ll lawful means and equitable and legal remedies, procedures, and writs in my name for the collecti on and recovery thereof, and to adjust, sell, compromise, and agree for the same, and to make, execute, and de liver for me, on my behalf, and in my name, all endorsements, acquittances, releases, receipts, or other suffic ient discharges for the same; 3. To lease, purchase, exchange, and acquire, and to agree, bargain, and contract for the lease, purchase, exchange, and acquisition of, and to accept, take, receive, and possess any real or pe rsonal property whatsoever, tangible or intangible, or interest thereon, on such terms and conditions, and under suc h covenants, as said attorney in fact shall deem proper; 4. To maintain, repair, improve, manage, insure, rent, lease, sell, convey, subject to liens, mortgage, subject to deeds of trust, and hypothecate, and in any way or manner deal with all or a ny part of any real or personal property whatsoever, tangible or intangible, or any interest therein, that I now own or may hereafter acquire, for me, in my behalf, and in my name and under such terms and condit ions, and under such covenants, as said attorney in fact shall deem proper; 5. To conduct, engage in, and transact any and all lawful business of whatever nature or kind for me, on my behalf, and in my name; 6. To make, receive, sign, indorse, execute, acknowledge, deliver, and possess such applications, contracts, agreements, options, covenants, conveyances, deeds, trust deeds, security agreements, bills of sale, leases, mortgages, assignments, insurance policies, bills of lading, warehouse receipts, document s of title, bills, bonds, debentures, checks, drafts, bills of exchange, letters of credit, note s, stock, certificates, proxies, warrants, commercial paper, receipts, withdrawal receipts and deposit instrument s relating to accounts or deposits in, or certificates of deposit of, banks, savings and loan or other instituti ons or associations, proofs of loss, evidences of debts, releases, and satisfaction of mortgages, liens, judgm ents, security agreements and other debts and obligations and such other instruments in writi ng of whatever kind and nature as may be necessary or proper in the exercise of the rights and powers herein granted. 7. I grant to said attorney in fact full power and authority to do, take, and perform all and every act and thing whatsoever requisite, proper, or necessary to be done, in the exercise of any of the ri ghts and powers herein granted, as fully to all intents and purposes as I might or could do if personal ly present, with full power of substitution or revocation, hereby ratifying and confirming all that said attorney in fact, or his substitute or substitutes, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted. 8. This instrument is to be construed and interpreted as a general power of attorney. The e numeration of specific items, rights, acts, or powers herein is not intended to, nor does it, limit or restrict, and is not to be construed or interpreted as limiting or restricting, the general powers herein granted to said Attorney- In-Fact. 9. The rights, powers, and authority of said Attorney-In-Fact herein granted shall commence and be in full force and effect on the date of execution of this document, and such rights, powers, and authorit y shall remain in full force and effect thereafter until __________________ or terminated prior to such dat e by written notice signed by me or by the appointment of a conservator for me by a Court Order. 10. As Principal, I authorize my Attorney-In-Fact to receive the following reimbursement for re asonable amounts, travel costs, lodging, meals, attorney or accountant fees and the like: ________________________ ________________________________________________________________________________________________________________________________________________________________________ Initial: Principal ____________ Witness ____________ Witness ____________ 11. My Attorney-In-Fact receives gifting from the following programs through my qualification of those programs. I, as Principal of this Power of Attorney authorize annual exclusion gifting from these programs to the Attorney- In-Fact as an entitlement rather than as a reimbursement arising from this Power of Attorney. ____________________________________________________________________________________ ___________________________________________________________________________________ Initial: Principal _____________ Witness _____________ Witness _____________ I, __________________________________, the principal, sign my name to this power of attorney this _____ day of __________________________________ and, being first duly sworn, do declare to the undersigned authority that I sign and execute this instrument as my power of attorney and that I sign it willingly, or willingly direct another to sign for me, that I execute it as my free and voluntary act for the purposes expressed in the power of attorney and that I am eighteen years of age or older, of sound mind and under no constraint or undue influence. ________________________________________ Principal STATE OF _______________________ ) )ss COUNTY OF _____________________ ) OATH AND VERIFICATION On this date:________________________________, before us, the undersigned Witness 1 and Witness 2, personally appeared the above Principal, respectively, known to us or satisfactorily proven to be the person whose name is subscribed to this instrument. We as Witnesses to this Power of Attorney declare that neither Witness 1 or Witness 2 is the above appointed Attorney-In-Fact, or the child or spouse of the Attorney-In-Fact or is the Notary Public signed below. The Principal, being duly sworn, did hereby declare that Principal signed and executed this instrument as Principal's Power of Attorney appointing the above named Attorney-In-Fact and had signed willingly and executed it as Principal's free and voluntary act for the purposes therein expressed, and that each of the Witnesses, in the presence of the Principal, Notary and each other signed this Power of At torney as Witnesses; and that to the best of our knowledge, the Principal was at the time an adult, of sound mind and under no constraint or undue influence. This instrument was subscribed, sworn and acknowledged before us. _____________________________________________ ______________________________________ Witness 1 Witness 2 _____________________________________________ ______________________________________ Address Address _____________________________________________ ______________________________________ Principal Attorney-In-Fact On this _____ of __________________________________, 20___, personally appeared before me, _______________________________________, personally known to me or proved to me on the basis of satisfactory evidence to be the above named Principal whose name is subscribed to this instrument, and acknowledged that he/she executed the same in front of myself and the above signed Wi tnesses. At the time of execution the Principal was at the time an adult, of sound mind and under no constraint or undue influence. Notary Public____________________________________________ (seal)