HomeMy WebLinkAbout887781 RECEIVED
LINCOLN COLINTY CLERK
887-/$ I
DURABLE POWER OF A~ORNEY FOR FINA~GI~,~ ~: ,,',, ,' ;,~ E R
MANAGEMENT
WA~G TO PERSON EXECUTING THIS DOCUMENT
THIS IS ~ ~PORTANT LEGAL DOCUMENT. IT C~ATES A DU~BLE
POWER OF ATTO~EY. BEFO~ EXECUTING THIS DOCUMENT, YOU
SHOULD ~OW THESE ~PORTANT FACTS:
THIS DOCUMENT ~Y PROVIDE THE PERSON YOU DESIGNATE AS
YOUR ATTO~EY-IN-FACT WITH BRO~ LEGAL POWERS, ~CLUD~G
THE POWERS TO MANAGE, DISPOSE, SELL AND CONVEY YOUR ~AL
AND PERSON~ PROPERTY ~D TO BO~OW MONEY USING YOUR
PROPERTY AS SECU~TY FOR THE LO~.
THESE POWE~ W~L CONTINUE TO EXIST EVEN IF YOU BECOME
DISABLED OR ~C~ACITATED. THESE POWE~ W~L EXIST UNTIL
YOU ~VO~ OR TE~iNATE THIS POWER OF ATTO~EY. YOU ~VE
THE ~GHT TO ~VO~ OR TE~iNATE THIS POWER OF ATTO~EY
AT ANY TIME.
THIS DOCUMENT DOES NOT AUTHO~ZE ANYONE TO MA~ MEDICAL
OR OTHER HEALTHCA~ DECISIONS FOR YOU.
~ THE~ IS ~YTHING ABOUT THIS FO~ THAT YOU DO NOT
UNDERSTAND, YOU SHOULD ASK A LAWYER TO EXPLMN IT TO YOU.
1. Principal and Attorney-in-Fact
PRINCIPAL
Karen L B<nton
PO Box 100
123 E. 6th Ave.
Alton, Wyoming 83110
I, Karen L. Benton, appoint the person named below as my attorney-in-fact to act for me
in any lawful way with respect to the powers delegated in Part 4, below.
////
////
Dm'able Power of Attorney for Financial Management --Page 1 of l 1
A TTORNE Y-IN-FA CT
Thomas W. Benton
PO Box 100
123 E. 6th Ave.
Afton, Wyoming 83110
Day phone: (307) 885-3029
552
SUCCESSOR A TTORNE Y-IN-FA CT
I name the following person to act as my attorney-in-fact if the named attorney-in-fact
dies, resigns, or is otherwise unable to serve.
Lori M. Benton
PO Box 100
123 E. 6th Ave.
Alton, Wyoming 83110
Day phone: (307) 885-3029
2. Delegation of Authority
My attorney-in-fact may not delegate any authority granted under this durable power of
attorney.
3. Effective Date
This power of attorney is effective immediately, and shall continue in effect if I become
incapacitated or disabled.
4. Powers of Attorney-in-Fact
I grant my attorney-in-fact power to act on my behalf in the following matters, as
indicated by my initials next to each granted power.
INITIALS
x
x 5q.g
x 9/g
X ~)~
(1) Real estate transactions.
(2) Tangible personal property transactions.
(3) Stock and bond, commodity, option and other securities transactions.
(4) Banking and other financial institution transactions.
(5) Business operating transactions.
(6) Insurance and annuity transactions.
Durable Power of Attorney for Financial Manage~nent -- Page 2 of 11
553
x
x
x 9&
x %
x ,gq
x
X "gA
(7) Estate, trust, and other beneficiary transactions.
(8) Living trust transactions.
(9) Legal actions.
(10) Personal and family care.
(11) Government benefits.
(12) Retirement plan transactions.
(13) Tax matters.
(14) Gift transactions.
These powers are defined in Part 11, below.
5. Compensation and Reimbursement of Attorney-in-Fact
My attorney-in-fact shall not be compensated for services, but shall be entitled to
reimbursement, from my assets, for reasonable expenses. Reasonable expenses include but
are not limited to reasonable fees for information or advice from accountants, lawyers or
investment experts relating to my attorney-in-fact's responsibilities under this power of
attorney.
6. Personal Benefit to Attorney-in-Fact
My attorney-in-fact may buy any assets of mine or engage in any transaction he or she
deems in good faith to be in my interest, no matter what the interest or benefit to my
attorney-in-fact.
7. Commingling by Attorney-in-Fact
My attorney-in-fact may commingle any of my funds with any funds of his or hers.
However, if a successor attorney-in-fact is serving under this document, the successor
attorney-in-fact may not commingle any of my funds with any funds of his or hers.
8. Liability of Attorney-in-Fact
My attorney-in-fact shall not incur any liability to me, my estate, my heirs, successors or
assigns for acting or refraining from acting under this document, except for willful
misconduct or gross negligence. My attorney-in-fact is not required to make my assets
produce income, increase the value of my estate, diversify my investments or enter into
transactions authorized by this document, as long as my attorney-in-fact believes his or her
actions are in my best interests or in the interests of my estate and of those interested in
Durable Power of Attorney for Financial Management -- Page 3 of 11
my estate, A successor attorney-in-fact shall not be ~iable for acts of a prior attorney-in-
fact.
9. Reliance on This Power of Attorney
Any third party who receives a copy of this document may rely on and act under it.
Revocation of the power of attorney is not effective as to a third party until the third party
has actual knowledge of the revocation. I agree to indemnify the third party for any claims
that arise against the third party because of reliance on this power of attorney.
10. Severability
If any provision of this document is ruled unenforceable, the remaining provisions shall
stay in effect.
11. Definition of Powers Granted to Attorney-in-Fact
The powers granted in Part 4 above authorize my attorney-in-fact to do the following:
(1) Real estate transactions
My attorney-in-fact may act for me in any manner to deal with all or any part of any
interest in real property that I own at the time of execution of this document or later
acquire, under such terms, conditions and covenants as my attorney-in-fact deems
proper. My attorney-in-fact's powers include but are not limited to the power to:
(a) Accept as a gift, or as security for a loan, reject, demand, buy, lease, receive or
otherwise acquire ownership of possession of any estate or interest in real
property.
(b)
(c)
(d)
Sell, exchange, convey with or without covenants, quitclaim, release, surrender,
mortgage, encumber, partition or consent to the partitioning of, grant options
concerning, lease, sublet or otherwise dispose of any interest in real property.
Maintain, repair, improve, insure, rent, lease, and pay or contest taxes or
assessments on any estate or interest in real property I own or claim to own.
Prosecute, defend, intervene in, submit to arbitration, settle and propose or accept
a compromise with respect to any claim in favor of or against me based on or
involving any real estate transaction.
(2) Tangible personal lJroperty transactions
My attorney-in-fact may act for me in any manner to deal with all or any part of any
interest in personal property that I own at the time of execution of this document or
later acquire, under such terms as my attorney-in-fact deems proper. My attorney-in-
Durable Power of Attorney for Financial Management -- Page 4 of 11
fact's powers include but are not limited to the power to lease, buy, exchange, accept
as a gift or as security for a loan, acquire, possess, maintain, repair, improve, insure,
rent, convey, mortgage, pledge, and pay or contest taxes and assessments on any
tangible personal property.
(3) Stock and bond, commodity, option and other securities transactions
My attorney-in-fact may do any act which I can do through an agent, with respect to
any interest in a bond, share, other instrument of similar character or commodity. My
attorney-in-fact's powers include but are not limited to the power to:
(a)
Accept as a gift or as security for a loan, reject, demand, buy, receive or otherwise
acquire ownership or possession of any bond, share, instrument of similar
character, commodity interest or any investment with respect thereto, together
with the interest, dividends, proceeds or other distributions connected with it.
(b)
Sell (including short sales), exchange, transfer, release, surrender, pledge, trade in
or otherwise dispose of any bond, share, instrument of similar character or
commodity interest.
(c)
Demand, receive and obtain any money or other thing of value to which I am or
may become or may claim to be entitled as the proceeds of any interest in a bond,
share, other instrument of similar character or commodity interest.
(d) Agree and contract, in any manner, and with any broker or other person and on
any terms, for the accomplishment of any purpose listed in this section.
(e)
Execute, acknowledge, seal and deliver any instrument my attorney-in-fact thinks
useful to accomplish a purpose listed in this section, or any report or certificate
required by law or regulation.
(4) Banking and other financiaI institution transactions
My attorney-in-fact may do any act that I can do through an agent in connection xvith
any banking transaction that might affect my financial or other interests. My attorney-
in-fact's powers include but are not limited to the power to:
(a) Continue, modify and terminate any deposit account or other banking
arrangement, or open either in the name of the agent alone or my name alone or in
both our names jointly, a deposit account of any type in any financial institution,
rent a safe deposit box or vault space, have access to a safe deposit box or vault to
which I would have access, and make other contracts with the institution.
Durable Power of Attorney for Financial Management -- Page 5 of 11
556
(b) Make, sign and deliver checks or drafts, and withdraw my funds or property from
any financial institution by check, order or otherwise.
(c)
Prepare financial statements concerning my assets and liabilities or income and
expenses and deliver them to any financial institution, and receive statements,
notices or other documents from any financial institution.
(d)
Borrow money from a financial institution on terms my attorney-in-fact deems
acceptable, give security out of my assets, and pay, renew or extend the time of
payment of any note given by or on my behalf.
(5) Business olJerating transactions
My attorney-in-fact may do any act that I can do through an agent in connection with
any business operated by me that my attorney-in-fact deems desirable. My attorney-in-
fact's powers include but are not limited to the power to:
(a)
Perform any duty and exercise any right, privilege or option which I have or claim
to have under any contract of partnership, enforce the terms of any partnership
agreement, and defend, submit to arbitration or settle any legal proceeding to
which I am a party because of membership in a partnership.
(b)
Exercise in person or by proxy and enforce any right, privilege or option which I
have as the holder of any bond, share or instrument of similar character and
defend, submit to arbitration or settle a legal proceeding to which I am a party
because of any such bond, share or instrument of similar character.
(c)
With respect to a business owned solely by me, continue, modify, extend or
terminate any contract on my behalf, demand and receive all money that is due or
claimed by me and use such funds in the operation of the business, engage in
banking transactions my attorney-in-fact deems desirable, determine the location
of the operation, the nature of the business it undertakes, its name, methods of
manufacturing, selling, marketing, financing, accounting, form of organization and
insurance, and hiring and paying employees and independent contractors.
(d) Execute, acknowledge, seal and deliver any instrument of any kind that my
attorney-in-fact thinks useful to accomplish any purpose listed in this section.
(e) Pay, compromise or contest business taxes or assessments.
(f') Demand and receive money or other things of value to which I am or claim to be
entitled as the proceeds of any business operation, and conserve, invest, disburse
Durable Power of Attorney for Financial Management -- Page 6 of 11
or use anything so received for purposes listed in this section.
(6) Insurance and annuity transactions
My attorney-in-fact may do any act that I can do through an agent, ~n connection with
any insurance or annuity policy, that my attorney-in-fact deems desirable. My attorney-
in-fact's powers include but are not limited to the power to:
(a)'
(b)
(c)
Continue, pay the premium on, modify, rescind or terminate any annuity or policy
of life, accident, health, disability or liability insurance procured by me or on my
behalf before the execution of this power of attorney. My attorney-in-fact cannot
name himself or herself as beneficiary of a renewal, extension or substitute for such
a policy unless he or she was already the beneficiary before I signed the power of
attorneyl
Procure new, different or additional contracts of health, disability, accident or
liability insurance on my life, modify, rescind or terminate any such contract and
designate the beneficiary of any such contract.
Sell, assign, borrow on, pledge, or surrender and receive the cash surrender value
of any policy.
(7) Estate, trust and other beneficiary transactions
My attorney-in-fact may act for me in all matters that affect a trust, probate estate,
guardianship, conservatorship, escrow, custodianship or other fund from which I am,
may become or claim to be entitled, as a beneficiary, to a share or payment. My
attorney-in-fact's authority includes the power to disclaim any assets which I am, may
become or claim to be entitled, as a beneficiary, to a share or payment.
(8) Living trust transactions
My attorney-in-fact may transfer ownerstfip of any property over which he or she has
authority under tiffs document to the trustee of a revocable trust I have created as
settlor. Such property may include real property, stocks, bonds, accounts with
financial institutions, insurance policies or other property.
(9) Legal actions
My attorney-in-fact may act for me in all matters that affect claims in favor of or
against me and proceedings in any court or administrative body. My attorney-in-fact's
powers include but are not limited to the power to:
(a) Hire an attorney to assert any claim or defense before any court, administrative
Durable Power of Attorney for Financial Manage~nent -- Page 7 of 11
557
board or other tribunal.
(b) Submit to arbitration or mediation or settle any claim in favor of or against me or
any litigation to which I am a party, pay any _judgment or settlement and receive
any money or other things of value paid in settlement.
(1 O) Personal and family care
My attorney-in-fact may do all acts necessary to maintain my customary standard of
living, and that of my spouse and children and other persons customarily supported by
or legally entitled to be supported by me. My attorney-in-fact's powers include but are
not limited to the power to:
(a)
Pay for medical, dental and surgical care, living quarters, usual vacations and
travel expenses, shelter, clothing, food, appropriate education and other living
costs.
(b)
Continue arrangements with respect to automobiles or other means of
transportation, charge accounts, discharge of any services or duties assumed by me
to any parent, relative or friend, contributions or payments incidental to
membership or affiliation in any church, club, society or other organization.
(I1) Government benefits
My attorney-in-fact may act for me in all matters that affect my right to government
benefits, including Social Security, Medicare, Medicaid, or other govermnental
programs, or civil or military service. My attorney-in-fact's powers include but are not
limited to the power to:
(a) Prepare, execute, file, prosecute, defend, submit to arbitration or settle a claim on
my behalf to benefits or assistance, financial or otherwise.
(b) Receive the proceeds of such a claim and conserve, invest, disburse or use them on
my behal£
(12) Retirement plan transactions
My attorney-in-fact may act for me in all matters that affect my retirement plans. My
attorney-in-fact's powers include but are not limited to the power to select payment
options under any retirement plan in which I participate, make contributions to those
plans, exercise investment options, receive payment from a plan, roll over plan benefits
into other retirement plans, designate beneficiaries under those plans and change
existing beneficiary designations.
IIII
Durable Power of Attorney for Financial Management- Page 8 of l 1
I//I
IIII
IIII
t111
I//I
I//I
I//I
IIII
IIII
Illl
IIII
////
////
////
///I
////
////
I///
////
////
(13) Tt~v. matters
My attorney-in-fact may act for me in all matters that affect my local, state and federal
taxes. My attorney-in-fact's powers include but are not limited to the power to:
(a) Prepare, sign and file federal, state, local and foreign income, gift, payroll, Federal
Insurance Contributions Act returns and other tax returns, claims for refunds,
requests for extension of time, petitions, any power of attorney required by the
Internal Revenue Service or other taxing authority, and other documents.
(b) Pay taxes due, collect refunds, post bonds, receive confidential information,
exercise any election available to me and contest deficiencies determined by a
taxing authority.
(14) G!ft transactions
My attorney-in-fact may make gifts and other transfers of my property without
consideration or with less than full consideration, including forgiveness of debts owed
to me and completion of charitable pledges that I have made. However, my attorney-in-
fact shall not (i) appoint, assign or designate any of my assets, interests or rights
directly or indirectly to himself or herself, or his or her estate or creditors, or the
creditors of his or her estate, (ii) disclaim assets to which I would otherwise be entitled
if the effect of the disclaimer is to cause such assets to pass directly or indirectly to my
attorney-in-fact or his or her estate, or (iii) use my assets to discharge any of his or her
legal obligations, including any obligation of support owed to others, excluding me
and those I am legally obligated to support.
Durable Power of Attorney for Financial Management -- Page 9 of 11
I understand the importance of the powers I delegate to my attorney-in-fact in this
document. I recognize that the document gives my attorney-in-fact broad powers over my
assets, and that these powers will become effective as of the date of my incapacity (or
sooner if specified in this document) and continue indefinitely unless I revoke this durable
power of attorney.
Signed this cC' day of
State of Wyoming, County of
Signature:
Social Security number: 567-60-2033
560
CERTIFICATE OF ACKNOWLEDGMENT OF NOTARY PUBLIC
State of Wyoming )
) SS.
County of )
notary public in and for said state, personally appeared F-/' - ~
. ,'~_//.d_~ .. _,~~ , personally known to me (or proved on the
basis of satisfactory evidence) to be the person whose name is subscribed to the within
instrument, and acknowledged to me that she executed the same in her authorized
capacity and that by her signature on the instrument the person, or the entity upon behalf
of which the person acted, executed the instrument.
,a
[NOTARIAL SEAL]
WITNESS my hand and official seal.
Notary PLCb~c for the State of W ng
My commission expires:
Dm'able Power of Attorney fol' Financial Management -- Page 10 of 11
PREPARATION STATEMENT
This document was prepared by:
Karen L. Benton
PO Box 100
123 E. 6th Ave.
Alton, Wyoming 83110
Dural)le Power of Attorney for Financial Management -- Page 11 of 11