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HomeMy WebLinkAbout895010895O10 RECEIVED LINCOLN COUNTY OLERK 03 NOV PH 15 J ,ANNE WAGNER LF205-04 R205-04 GENERAL POWER OF ATTORNEY (With Durable Provision) NOTICE: TinS IS AN IMPORTANT DOCUMENT. BEFORE SIGNING THIS DOCU- MENT, YOU SHOULD KNOW THESE IMPOR~I~NT FACTS. THE PURPOSE OF THIS POWER OF ATTORNEY IS TO GIVE THE PERSON WHOM YOU DESIGNATE (YOUR "AGENT") BROA, D 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 TItAT YOU DO NOT UNDERSTAND, YOU SHOULD ASK A LAWYER TO EXPLAIN IT TO YOU. YOU MAY REVOKE THIS POWER OF ATTORNEY IF YOU LATER WISIt TO DO SO. TO ALL PERSONS, be it 'l~own that I, "~o'{'~j /,--, /~/?~ , the undersigned Grantor, do hereby make and grant a general power of attorney to and do thereupon constitute and appoint said individual as my attomey-in-facffagent. My attorney-in-fact/agent shall act in my name, place and stead in any way which I myself could do, if I were personally present, with respect to the following matters, to the extent that I am permitted by law to act through an agent: (NOTICE: The grantor must.write his or her initials in the corresponding blauk space of a box below with respect to each of the subdivisions (A) tlu'ough (O) below for which the Grantor wants to give th~ agent authority. If the blank space within a box for any particular subdivision is NOT initialed, NO AUTHORITY WILL BE GRANTED for nmtters that are included in that subdivision. Cross out each power withheld.) [ ] [ ] [ ] (A) Real estate transactions (B) ~propcrty (C) P:mnd, ~'~ and ...... '~: (D) Banking transactions (E) tlusJ::~ss spcrat[ng transactions (F) Insurance transactions (G) Ch-gts to cha~das and .indi.:,~duals ether then Atterney-in Fzz~JAgen5 Of trust distributions are involved or tax consequences are anticipated~ consult an attorney.) © 1992-2001 Made E-Z Products, Inc. Page I Rev. 10/01 This prodnct does not constitute the rendering of legal advice or services. This product is intended for informational use only :and is not a substitute for legal advice. State laws vary, so consult an attorney on all legal matters. This produc~ was not necessarily prepared by a person licensed to practice law in your state. 798 [ ] [ ] ] ] [ ] [ ] (H) (I) g) (K) (L) (M) (N) (0) Bencfita from m-ititmy se~vici Records, repo~s and statements ~nd unquali-fied-authofity-t~m~y-attomeyqn-f~effag~H~elegatc any or all of t~ Access to safe deposit box(es) To -au t h ofize-medie al. and. s u rg i~ al p roe ed ures-(P ennsytv an ia- ont~ Al-l~ther mattcm Durable Provision: (P) If the blank space in the block to the left is initialed by the Grantor, this power of attorney shall not be affected by the subsequent disability or incompetence of the Grantor. Other Terms: ~7'~-~g.(_. My attorney-in-fact/agent hereby accepts this appointment subject to .its terms and agrees to act and perforin in said fiduciary capacity consistent with my best interests as he/e, tae in his/her best discretion deems advisable, and I affirm and ratify all acts so undertaken. TO INDUCE ANY THIRD PARTY TO ACT HEREUNDER, I HEREBY AGREE THAT ANY THIRD PARTY RECEIVING A DULY EXECUTED COPY OR FACSIMILE OF THIS INSTRUMENT MAY ACT HEREUNDER, AND THAT REVOCATION OR TERMINATION HEREOF SHALL BE INEFFECTIVE AS TO SUCH THIRD PARTY UNLESS AND UNTIL ACTUAL NOTICE OR KNOWLEDGE OF SUCH REVOCATION OR TERMINATION SHALL HAVE BEEN RECEIVED BY SUCH THIRD PARTY, AND I FOR MYSELF AND FOR MY HEIRS, EXECUTORS, LEGAL REPRESENTATIVES AND ASSIGNS, ttEREBY AGREE TO INDEMNIFY AND HOLD HARMLESS ANY SUCH THIRD PARTY FROM AND AGAINST ANY AND ALL CLAIMS THAT MAY ARISE AGAINST SUCH THIRD PARTY BY REASON OF SUCH TH1RD PARTY HAVING RELIED ON TIlE PROVISIONS OF THIS INSTRUMENT Signed under seal this day of State of ~L-O~\bn'~xr~, '~ ' County o{ \-~--k,~ .o f ,20 On Oc.~, e,~LI, ~,OO__~ beforeme, e--xCq'ck¢-'~\~ 4~v'~.[;~UL-~ , appeared ~ T~ L ~~ 4 ~x'~tp ~' ~~ , personally known to me (or proved to me on the bas~s of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his&er/their authorized capac: ity(ies), and tliat by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the insUument. WITNESS lny hand and official seal. Signature .~0A~. ' ~,.; Page 2 AZAK Affiant Known x'~ Produced ID Type of ID