Fill and Sign the Upi Number Form

THE PURPOSE OF THIS POWER OF ATTORNEY IS TO GIVE THE PERSON YOU DESIGNATE (YOUR "AGENT") BROAD POWERS TO HANDLE YOUR PROPERTY, WHICH MAY INCLUDE POWERS TO SELL OR OTHERWISE DISPOSE OF ANY REAL OR PERSONAL PROPERTY WITHOUT ADVANCE NOTICE TO YOU OR APPROVAL BY YOU. THIS POWER OF ATTORNEY DOES NOT IMPOSE A DUTY ON YOUR AGENT TO EXERCISE GRANTED POWERS, BUT, WHEN POWERS ARE EXERCISED, YOUR AGENT MUST USE DUE CARE TO ACT FOR YOUR BENEFIT AND IN ACCORDANCE WITH THIS POWER OF ATTORNEY. YOUR AGENT MAY EXERCISE THE POWERS GIVEN HERE THROUGHOUT YOUR LIFETIME, EVEN AFTER YOU BECOME INCAPACITATED, UNLESS YOU EXPRESSLY LIMIT THE DURATION OF THESE POWERS OR YOU REVOKE THESE POWERS OR A COURT ACTING ON YOUR BEHALF TERMINATES YOUR AGENT'S AUTHORITY. YOUR AGENT MUST ACT IN ACCORDANCE WITH YOUR REASONABLE EXPECTATIONS TO THE EXTENT ACTUALLY KNOWN BY YOUR AGENT AND, OTHERWISE, IN YOUR BEST INTEREST, ACT IN GOOD FAITH AND ACT ONLY WITHIN THE SCOPE OF AUTHORITY GRANTED BY YOU IN THE POWER OF ATTORNEY. THE LAW PERMITS YOU, IF YOU CHOOSE, TO GRANT BROAD AUTHORITY TO AN AGENT UNDER POWER OF ATTORNEY, INCLUDING THE ABILITY TO GIVE AWAY ALL OF YOUR PROPERTY WHILE YOU ARE ALIVE OR TO SUBSTANTIALLY CHANGE HOW YOUR PROPERTY IS DISTRIBUTED AT YOUR DEATH. BEFORE Prepared by, recording requested by and return to: Name: ____________________UPI Number:_________________Company: ____________________Address: ____________________City: ____________________State: ________ Zip: ________ Phone: ____________________Fax: ____________________ NOTICE ----------------------Above this Line for Official Use Only---------------------
This power of attorney is intended to address specific problems relating to financial or estate planning or to enable your personal representatives to perform these tasks in your name. If you have other legal needs, please consult an attorney certified in estate planning. -----------------------above this line for official use only----------------------- -----------------------above this line for official use only----------------------- (date of service) (this will be used as acknowledgement that this power of attorney has been used. You may also indicate that you want to change the address shown. All documents are subject to the provisions of public act 83 of 2003. Any request by you is subject to the provisions of the public act 83 of 2003. A sample power of attorney has been attached and is available by mail for inspection. ) (please indicate the date you provided your signature under threat of perjury.) attention: you are required to sign this authorization only under threat of perjury as described on my signature (above the line) if under certain circumstances, such as, a) I am not your current legal guardian and do not have the authority to manage your estate or to make decisions concerning it, b) I am not your attorney and do not have the authority to authorize the use or execution of this power of attorney or c) I do not have the authority to make any decision with respect to the following areas: 1. Powers which I am not personally competent to exercise. 2. Powers which I am incompetent or unwilling to exercise. (full name) attention : you may cancel your request at any time and notify me of your decision to do so. Attention : I have received this request on behalf of, (add name of authorized representative), under threat of perjury, and as permitted by public act 83 of 2003 as amended (the “public act"). I have read it, and wish to authorize its use in accordance with the terms of subsection (d). (your address) dear (in