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HomeMy WebLinkAbout910632 00445 Limited Power of Attorney (with Durable Provision) NOTICE: THIS IS AN IMPORTANT DOCUMENT. BEFORE SIGNING THIS DOCUMENT, YOU SHOULD KNOW THESE IMPORTANT FACTS. THE PURPOSE OF THIS POWER OF ATTORNEY IS TO GIVE THE PERSON WHOM YOU DESIGNATE (YOUR "AGENT") BROAD POWERS TO HANDLE YOUR PROPERTY, WHICH MAY INCLUDE POWERS TO PLEDGE, SELL OR OTHERWISE DISPOSE OF ANY REAL OR PERSONAL PROPERTY WITHOUT ADVANCE NOTICE TO YOU OR APPROVAL BY YOU. YOU MAY SPECIFY THAT THESE POWERS WILL EXIST EVEN AFTER YOU BECOME DISABLED, INCAPACITATED OR INCOMPETENT. THIS DOCUMENT DOES NOT AUTHORIZE ANYONE TO MAKE MEDICAL OR OTHER HEALTH CARE DECISIONS FOR YOU. IF THERE IS ANYTHING ABOUT THIS FORM THAT YOU DO NOT UNDERSTAND, YOU SHOULD ASK A LAWYER TO EXPLAIN IT TO YOU. YOU MAY REVOKE THIS POWER OF ATTORNEY IF YOU LATER WISH TO DO SO. TO ALL PERSONS, be it known, that I, j J"" bu ~ ~t..~6 on , as Principal, do hereby make and grant a limited and specific power of a,orney to 0~ (_~~ and appoint and constitute said individual as ~y-atto~ney-in-faG. My named attorney-in-fact shall have full power and authority to undertake, commit and perform only the following acts on my behalf to the same extent ,as if I ha~d~,e~Loq~¢~2cn.~,lJy;,c.lt,~i$,bJu~Lpg.w~,of~s~bstitution and revocation in the presence: (Describe specific authority) (,'(). _'~ The authority granted shall include such ~ncldent~ acts as are reason~q~e~ necessary to carw out and pedorm the specific authorities and duties stated or contemplated herein. My attorney-in-fact agrees to accept this appointment subject to its terms, and agrees to act and perform in said fiduciary capacity consistent with my best interests as my attorney~in-fact deems advisable, and I thereupon ratify all acts so carried out. I agree to reimburse my attorney-in-fact all reasonable costs and expenses incurred in the fulfillment of the duties and responsi- bilities enumerated herein. Special durable provisions: This power of attorney shall not be affected by subsequent incapacity of the Principal. This power of attorney may be revoked by the Principal giving written notice of revocation to the attorney-in-fact, provided that any party relying in good faith upon this power of attorney shall be protected unless and until said party has either a) actual or constructive notice of revocation, or b) upon recording of said revocation in the public records where the Principal resides. Furthermore, upon a finding of incompetence by a court of appropriate jurisdiction, this Power of Attorney shall be irrevocable until such a time as said court determines that I am no longer incompetent. RECEIVED 8~5~2005 at 1:24 PM RECEIVING # 910632 BOOK: 593 PAGE: 445 JEANNE WAGNER LINCOLN COUNTY CLERK, KEMMERER, WY Page 1 © 2004, Socrates Media, LLC LF240 * Rev. 04~04 '00446 Signed under seal this 4TH day of Signed in~..~esence o~ t,~R~ PRICE Witness: P ~-ru~ ,' ' V _~_~.... AITGT?.qT 20 0 5 Principal: iN HAYDON State of CALIFOPA!IA County of RIVERSIDE } On AUGUST 4, 2005 before me, MARILYN PRICE appeared IRBY HAYDON t~[~;~!lZx~kJt~(or proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to the within instrument and acknowledged to me that he/sj~:executed the same in his/h~r authorized capacity, and that by his/J~' signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument. WITNESS r~y hand and official seal. ~ Signatur MARILYN~RICE Affiant x Type of ID Known Produced ID CAT,T¥ORNTA DRIVERS LICENSE (Seal) www. socrates, com Page 2 ©2004, Socrates Media, LLC [F240 · Rev. 04104