Loading...
HomeMy WebLinkAbout912451 ~~ , I 'I '~~'r'!'"' , \ ·:<,'-,···::..:~'.:o"..~::::;t,,"X"~<,=.a~i~~c=.'t'¥":"~"1:"''-i''~''''~~,:,., .'....~..~'ë:. ',:...-" ,,'... , .:..~...¡ "..~_,~~~_""~ . .C."~,.,~.",~.,"",,, .. , .~', _<.. " '-··''''_~':-.tJJU."<.~-,-,,,",-t<o'!C~'_'''''~'''k''.''(~__'''''''_~ "'~'-'1,?.· ,7"-";~","f,':;':W,'_ _N"""'~''X''''''''''''~"''''_.''',_",-,:'.,,,·,..,· ... _ CQO,204 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 ASKA LAWYER TO EXPLAIN IT TO YOU. YOU MAY REVOKE THIS POWER OF ATTORNEY IF YOU LATER WISH TO DO SO. C-\, \A..J ~~ ' / 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 had one so personally; all with full power of substitution and revocation in the presence: "- ( scribe spe ific auth rity) The au hority granted sh I nclude such incidental acts as are reasonably required or necessary to car~ut and perfo;m 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 òe ir:evocable until such a time as said court determines that I am no longer incompetent. Other terms: ÁJ ~ __ RECEIVED 10/3/2005 ,at 4:51 PM RECEIVING# 912451 BOOK: 600 PAGE: 204 JEANNE WAGNER LINCOLN COUNTY C@¡¡¡Y:; ,._<~M¥ERER, WY -- ----~~.;-:-. ·--~,T .-J:-... ,:.:_-~--- ,"j¡' ~'i~~ © 2004, So lF240· ¡ " ~ . iJ4'· ,: . ;1. ¡ ~;~ ;"'"Ir:" 09'1\.2451. (::00205 Signed under seal this c:I g day of ~ Signed in th'fresence of: 0 I Witness: _¿j~ C, 4J~ Witness: ~,~~~.\~ ~~:;;fOf ~ } ~-::¡ . 20 t'J .~- "- principal~~. ().-w Vvv~ On appeared personally known to me ( r proved to me on the asis satisfactory evidence) to be the person whose name is subscribed to the within instrument and acknowledged to me that he/she executed the same in his/her authorized capacity, and that by hislher signature on the instrument the person, or the entity upon behalf of which the person acted, executed the instrument. WITNESS my hand a official seal. é ÂA~ fJ-G?¡p Signature: ';0- Zg-CJlÞ Affiant~Kn9wn-¡:---::produced ID Type of ID ~;J Ø~hAJ.€ (Seal) Notary Public Stateot Wyoming, My Commission Expires October 2'a, 2006 ELLEN C PUGH , County of Lincoln . " Page 2 www.socrates.com <Q 2004, Socrates Media, llC lF240 . Rev, 04/04 ·::".,;,,·,..,·'..!:;·'c,,--'... ,,,·'t-· 'C:-,T '--~-';'- ;~~ ~-:' ,>;::; ',,-,'r_;:-; . -.,..,:'..; ..~.,.-...'".-;:--,~,.,-:- ·.·,,-:,....'...,.'.,.",i.'.·.·.'.:...-.I,'.' ~. <6'.'"