HomeMy WebLinkAbout910505 00855
50679
GENERAL POWER OF ATTORNEY
NOTICE: THE POWERS GRANTED BY THIS DOCUMENT ARE BROAD AND SWEEPING. IF
YOU HAVE ANY QUESTIONS ABOUT THESE POWERS, OBTAIN COMPETENT LEGAL :
ADVICE. THIS DOCUMENT DOES NOT AUTHORIZE ANYONETO MAKE MEDICAL AND
OTHER HEALTH-CARE DECISIONS FOR YOU. YOU MAY REVOKE THIS POWER OF
ATTORNEY IF YOU LATER WISH TO DO SO.
1,2~),~/.~/~, ,~/~u~_ z/Y/~4,,l.~,/ [YOU?, FULL LEGAL N. AME], residing at
De,_ , i
[YOUR FULL ADDRESS], t~reby apl~6int
.
, as my Attorney-in-Fact ("Agent").
If my Agent is unab)~ toCs¢~e for any reason, I designate
- , of
, as my successor
Agent.
of
I hereby revoke any and all general powers of attorney that previously have been signed by me.
However, the preceding sentence shall not have the effect of revoking any powers of attorney
that are directly related to my health care that previously have been signed by ,me.
My Agent shall have full power and authority to act on my behalf. This power and authority shall
authorize my Agent to manage and conduct all of my affairs and to exercise all of my legal rights
and powers, including all rights and powers that I may acquire ~n the future. My Agent's powers
shall include, but not be limited to, the power to:
1. Open, maintain or close bank accounts (including, but not limited to, checking accounts,
savings accounts, and' certificates of deposit), brokerage accounts, and othersimilar accounts
with financial institutions.
a. Conduct any business with any banking or financial institution with respeci to any of my
accounts, including, but not limited to, making deposits and withdrawals, obtaining bank
statements, passbooks, drafts, money orders, warrants, and certificates or vouchers payable to
me by any person, firm, corporation or political entity.
b. Perform any act necessary to deposit, negotiate, sell or transfer any note, security, or draft of
the United States of America, including U.S. Treasury Securities.
c. Have access to any safe deposit box that I might own, including its contents.
2. Sell, exchange, buy, invest, or reinvest any assets or property owned by me. Such assets or
property may include income producing or non-income producing assets and property.
3. Purchase and/or maintain insurance, including life insurance upon my life or the ife of any
other appropriate person.
4. Take any and all legal steps necessary to collect any amount or debt oWed to me, or to settle
any claim, whether made against me or asserted on my behalf against any other person or entity.
5. Enter into binding contracts on my behalf.
6. Exercise all stock rights on my behalf as my proxy, including all rights with.respect to stocks,
bonds, debentures, or other investments.
7. Maintain and/or operate any business that I may own.
RECEIVED 8/2/2005 at 10:22 AM
RECEIVING # 910505
BOOK: 592 PAGE: 855
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
;. 0385G
8. Employ professional and business assistance as may be appropriate, including attorneys,
accountants, and real estate agents.
9. Sell, convey, lease, Mortgage, manage, insure, improve, repair, or perform any other act with
respect to any of my property (now owned or later acquired) including, but not limited to, real
estate and real estate rights (including the right to remove tenants and to recover possession).
This includes the right to sell or encumber any homestead that I now own or may own in the
future.
10. Prepare, sign, and (lie documehts with any §overnmental body or agency, including, but not
limited'to, authorization'to: , . .. : .' . .
a. Prepare, sign and file income and other tax returns with federal, state, local, and other
governmental bodies.
b. Obtain infc~rmC~tion or doduments from any government or its agencies, and negotiate,
comprOr~i~e, or'settle ar~y, matter w, ith such government or agency (including tax matters).
c. Prepare applications, provide information, and perform any other act reasonably requested by
any government or its agencies in connection with governmental benefits (including military and
social security benefits).
11. Make gifts from my assets to members of my family and to such other persons or charitable
organizations with whom I have an established patter, n of giving. Ho,weve. r,, my Agent may not
mal~e gifts of my property to the Agent. I appoint N~)~J,"/~'0_~ /,.~L. /--~ D~.I k"') ' of
, as my substitute Agent for the sole purpose of making gifts of my property to my
Agent, as appropriate.
12. Transfer any of my assets to the trustee of any revocable trust created by me, if such trust is
in existence at the time of such transfer.
13. Disclaim any interest which might otherwise be transferred or distributed to me from any
other person, estate, trust, or other entity, as may be appropriate.
This POwer of Attorney Shall be construed broadly as a General Power Of Attorney. The listing of
specific powers is not intended to limit or restrict the general pOwers granted in this PoWer of
Attorney in any manner.
Any power or authority granted to my Agent under this document shall be limited to the extent
necessary to prevent this Power of Attorney from causing: (i) my income to be taxable to my
Agent, (ii) my assets to be subject to a general power of appointment by my Agenh and (iii) my
Age.,nt to have any incidents of ownership with respect to any life insurance policies that I may
own on the life of my Agent.
My Agent shall not be liable for any loss that results from a judgment error that was made in good
faith. However, my Agent shall be liable for willful misconduct or the failure to act in good faith
while acting under the authority of this Power of Attorney.
I authorize my Agent to indemnify and hold harmless any third party who accepts and acts under
this document.
My Agent shall be entitled to reasonable compensation for any services provided as my Agent.
My Agent shall be entitled to reimbursement of all reasonable expenses incurred in connection
with this Power of Attorney.
My Agent shall provide an accounting for all funds handled and all acts performed as my Agent, if
I so request or if such a request is made by any authorized personal representative or fiduciary
acting on my behalf.
:91.O150o
.,_00857
This Power of Attorney shall become effective immediately and shall not be affected by my
disability or lack of mental competence, except as may be provided otherwise by an applicable
state statute. This is a Durable Power of Attorney. This Power of Attorney shall continue effective
until my death. This Power of Attorney may be revoked by me at any time by providing written
notice to my Agent.
Dated J. ]Li ~-~ , 20 O~at
,,j ,
Ye U/U~IGNATU RE:
// - .
WITNESS' SIGNATURE:
WITNESS' SIGNATURE:
WITNESS' PRINTED FULL LEGAL NAME: W/TNESS' PRINTED FULL LEGAL NAME:
Acknowledgeme/~, ,/~
cou. o
ginstrument was,~~ before me ,¥s A~ay gf
~v~l=wn~ is per~pally' known to me or who has produced
6[~ I ~g~S ~~ as identification.
[YOUR FULL LEGAL
~"/~ ~ ~'~"~'/L/¢-/¥'~-- ' /~ D ~~~ NOTARY PUBLIC
Name typed, printed, orstamped. ~ , i~STATE.OFCOLORADO
~~~ My Commission Expires 11105105
Title or rank'
/.
Serial number .(.if applicable)
This document was prepared by:l
Name: k..~II~[~['~(~___ l'~L, ~~,.,