I, [YOUR NAME], residing at [YOUR ADDRESS], hereby appoint [APPOINTED INDIVIDUAL], residing at [APPOINTED INDIVIDUAL'S ADDRESS] in the province/state of [STATE], the country of [COUNTRY], as the Attorney-In-Fact.

POWERS GRANTED

I grant to the Attorney-In-Fact full power and authority to execute the following activities, as fully as I might do if personally present, including but not limited to:

• Financial Management: Oversight and control of financial matters such as managing bank accounts, investments, bill payments, tax filings, and debt collections.

• Property Management: Supervision and administration of real estate assets, encompassing tasks like buying, selling, leasing, property maintenance, rental agreements, and payment of property taxes.

• Healthcare Decision-making: Authorization to make medical treatment decisions, access medical records, and provide consent for medical procedures, including surgeries, medications, and end-of-life care directives.

EFFECTIVE DATE AND DURATION

This forced power of attorney shall become effective immediately upon execution and shall remain in full force and effect until [END DATE] unless earlier revoked by me.

SIGNATURES

Executed this [DATE] at [CITY], [STATE].

Principal: [YOUR NAME]
Date: [Date Signed]

Attorney-in-fact: [APPOINTED INDIVIDUAL'S NAME]

Date: [Date Signed]

_____________________________________________________________________________________

ACKNOWLEDGEMENT BY NOTARY PUBLIC

On this [DATE], before me, a notary public in and for said county and state, personally appeared [YOUR NAME] and [APPOINTED INDIVIDUAL], known to me to be the principal and attorney-in-fact, respectively, of the within the instrument and acknowledged that they executed the same for the purposes therein contained.

Notary Public: [NOTARY PUBLIC NAME]

My Commission Expires: [EXPIRY DATE]

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