Fill and Sign these Powers Will Exist If You Become Disabled or Incompetent Form

GENERAL DURABLE POWER OF ATTORNEY THE POWERS YOU GRANT BELOW ARE EFFECTIVE IF YOU BECOME DISABLED OR INCOMPETENT CAUTION: THIS IS AN IMPORTANT DOCUMENT. IT GIVES THE PERSON WHOM YOU DESIGNATE (YOUR "AGENT") BROAD POWERS TO HANDLE YOUR PROPERTY DURING YOUR LIFETIME, WHICH MAY INCLUDE POWERS TO MORTGAGE, SELL, OR OTHERWISE DISPOSE OF ANY REAL OR PERSONAL PROPERTY WITHOUT ADVANCE NOTICE TO YOU OR APPROVAL BY YOU. THESE POWERS WILL EXIST IF YOU BECOME DISABLED OR INCOMPETENT. THIS DOCUMENT DOES NOT AUTHORIZE ANYONE TO MAKE MEDICAL OR OTHER HEALTH CARE DECISIONS FOR YOU. YOU MAY EXECUTE A SEPARATE DOCUMENT FOR THAT PURPOSE. IF THERE IS ANYTHING ABOUT THIS FORM THAT YOU DO NOT UNDERSTAND, YOU SHOULD ASK A LAWYER TO EXPLAIN IT TO YOU. KNOWN BY ALL PERSONS PRESENT, THAT: I, (name), (address), “Principal”, execute this Durable Power of Attorney and do hereby make, constitute and appoint: (name), (address), "Agent" or "Attorney-in-Fact", as my attorney-in-fact TO ACT IN MY NAME, PLACE AND STEAD in any way which I myself could do as if I were personally present and to the extent that I am permitted by law to act through an agent, pursuant to the following provisions: 1. EFFECTIVENESS OF POWER OF ATTORNEY: This instrument is to be construed and interpreted as a general durable power of attorney effective only upon my disability, incompetency or incapacity. It is my intent that the authority conferred herein upon my Agent shall be exercisable only upon my subsequent disability, incompetency or incapacity. No person who may act in reliance upon the authority granted to my Agent herein shall incur any liability to me or my estate as a result of permitting my Agent to exercise any such power. 2. GRANT OF POWERS: I grant to my Agent full power and authorization to do everything necessary in exercising any of the powers herein granted by this power of attorney as fully as I might or could do if personally present. My agent shall have full power of substitution or
(name of person, account to which money to be paid) for the purposes specified in the preceding paragraph, but no person, firm, corporation or association shall have any liability on account of my death to pay any account or money payable to my estate or person whose liability it is to pay the account or money. 3. Liability of persons: I give to my agent full power and authority to bind in my name, and to the extent that I am incapacitated at the time to act through an agent on my account. Nothing in this power of attorney relieves any person, firm, corporation or association from the responsibility to pay or pay the debts of my estate or to defend or defend against any action or proceeding brought against any such person, firm, corporation or association on account of my death. 4. Assignment of property title: I assign all right, title, interest, and lien (including easement) hereinafter provided to my agent effective upon my disability, incapacity, incapacity or disability, and it is further the intention of the parties hereto (the “parties) that not more than a “100% interest in property, other than personal property, which may hereafter be disposed of as provided in this power of attorney shall pass to my agent upon the effective performance of the obligations hereunder. 5. Power to acquire, administer, dispose of and sell: I direct my agent to execute deed of trust or deed of sale of such real or personal property as may hereafter be acquired, administered or disposed of upon my death or incapacity. 6. Change in trustee: this power of attorney is revocable and no trustee shall be appointed with this power of attorney by my will. I authorize my agent to act under this power as trustee for my estate or person whose liability it is to pay such account or money or under the provisions of this part or of any other agreement, or in my absence as trustee or any other person authorized by law or in the best interest of the estate. 7. Amendment of documents: this power of attorney may be amended to further the purposes of this power of attorney by amendment of a writing executed by both parties. 8. Right of action: upon my disability or incapacity, incapacity or incapacity of my personal representative, my agent may, in my absence, sue, or upon a notice and demand duly made, be sued on my personal behalf and may commence suit against the person or persons from whom he is disinherited or has been appointed execut.