HomeMy WebLinkAbout968226This power of attorney authorizes another person (your agent) to make decisions
concerning your property for you (the principal). Your agent can make decisions and act with
respect to your property (including your money) whether or not you are able to act for yourself.
The meaning of authority over subjects listed on this form is explained in the Uniform Power of
Attorney Act, Chapter 12, Title 15, Idaho Code.
This power of attorney does not authorize the agent to make health care decisions for you.
You should select someone you trust to serve as your agent. The agent's authority will
continue until your death unless you revoke the power of attorney or the agent resigns.
Your agent is entitled to reasonable compensation unless you state otherwise in the
Special Instructions.
This form provides for designation of one (1) agent. If you wish to name more than one
(1) agent, you may name a co -agent in the Special Instructions. Co- agents are not required to act
together unless you include that requirement in the Special Instructions.
If your agent is unable or unwilling to act for you, your power of attorney will end unless
you have named a successor agent. You may also name a second successor agent.
This power of attorney becomes effective immediately unless you state otherwise in the
Special Instructions.
If you have questions about the power of attorney or the authority you are granting to your
agent, you should seek legal advice before signing this form.
agent:
STATUTORY DURABLE POWER OF ATTORNEY
OF
MABEL TAYLOR
IMPORTANT INFORMATION
00339
1. Designation of Agent. I, MABEL TAYLOR, name the following person as my
Name of Agent: Debra E. Clark
Agent's Address: 308 Duffin Circle
Thayne WY 83127
Agent's Phone 1- 307 248 -0927
RECEIVED 11/29/2012 at 4:13 PM
RECEIVING 968226
BOOK: 799 PAGE: 339
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
2. Designation of Successor Agent. If my agent is unable or unwilling to act for me,
I name as my successor agent:
Name of Successor Agent:
Successor Agent's Address:
Successor Agent's Phone
Sandra L. Chavez
192 E. 9th
Afton WY 83110
1- 307 885 -2560
STATUTORY DURABLE POWER OF ATTORNEY OF MABEL TAYLOR Page 1 of 4
00340
3. Grant of General Authority. I grant my agent and any successor agent general
authority to act for me with respect to the following subjects as defined in the Uniform Power of
Attorney Act, Chapter 12, Title 15, Idaho Code:
(INITIAL each subject you want to include in the agent's general authority. If you wish to grant
general authority over all of the subjects you may initial "All Preceding Subjects" instead of
initialing each subject.)
Real Property in the State of Wyoming
Tangible Personal Property
Stocks and Bonds
Commodities and Options
Banks and Other Financial Institutions
Operation of an Entity or Business
Insurance and Annuities
Estates, Trusts, and Other Beneficial Interests
Claims and Litigation
Personal and Family Maintenance
Benefits from Governmental Programs or Civil or Military Service
Retirement Plans
Taxes
All Preceding Subjects
4. Grant of Specific Authority. My agent MAY NOT do any of the following
specific acts for me UNLESS I have INITIALED the specific authority listed below:
(CAUTION: Granting any of the following will give your agent the authority to take actions that
could significantly reduce your property or change how your property is distributed at your death.
INITIAL ONLY the specific authority you WANT to give your agent.)
Create, amend, revoke, or terminate an inter vivos trust
Make a gift, subject to the limitations of the Uniform Power of Attorney Act, Chapter
12, Title 15, Idaho Code, and any special instructions in this power of attorney
Make a gift without limitations except any special instructions in this power of attorney
Create or change rights of survivorship
Create or change a beneficiary designation
Authorize another person to exercise the authority granted under this power of attorney
Waive the principal's right to be a beneficiary of a joint and survivor annuity, including
a survivor benefit under a retirement plan
Exercise fiduciary powers that the principal has authority to delegate
5. Limitation on Agent's Authority. An agent that is not my ancestor, spouse, or
descendant MAY NOT use my property to benefit the agent or a person to whom the agent owes
an obligation of support unless I have included that authority in the Special Instructions.
STATUTORY DURABLE POWER OF ATTORNEY OF MABEL TAYLOR Page 2 of 4
6. Special Instructions.: I give no special instructions.
7. Effective Date. This power of attorney is effective immediately unless I have
stated otherwise in the Special Instructions.
8. Nomination of Conservator. If it becomes necessary for a court to appoint a
conservator of my estate, I nominate the same person then serving, or entitled to serve as the
Agent pursuant to the designation in this Power of Attorney.
9. Reliance on this Power of Attorney. Any person, including my agent, may rely
upon the validity of this power of attorney or a copy of it unless that person knows it is
terminated or invalid.
IN WITNESS WHEREOF, I have executed this Durable Power of Attorney this Z7 day
of March, 2012.
MABEL TAYLOR
1405 Curlew Dr. #210
Ammon ID 83406
1- 307 887 -0341
NOTARY REQUIRED FOR RECORDING AND FOR REAL PROPERTY
STATE OF IDAHO
ss.
County of Bonneville
On this 7 day of March, 2012, before me, the undersigned, a notary public in and for
said state, personally appeared MABEL TAYLOR, known or identified to me to be the person
whose name is subscribed to the within instrument, and acknowledged to me that he executed the
same.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal the
day and year in this��? mo t' t i j�' rst above written.
PU Bv- \G
I d 17E O,00 l\
STATUTORY DURABLE 5\ ER OF ATTORNEY OF MABEL TAYLOR Page 3 of 4
Notary Public for daho
Residing at e►•evl
Commission Expires 7/ 0/3
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