I. Appointment of Agent

I, [YOUR NAME], further appoint [AGENT'S NAME], currently residing at [AGENT'S ADDRESS], as my attorney-in-fact ("Agent") to act in my name, place, and stead in any capacities to perform all necessary tasks as I could do in person.

II. Powers of Agent

The Agent is granted full power and authority to handle a spectrum of responsibilities during my absence, including but not limited to:

1. Financial Transactions: The agent shall have the authority to conduct financial transactions on behalf of the principal, including but not limited to banking, investment, and real estate transactions.

2. Legal Matters: The agent is authorized to handle legal matters on behalf of the principal, including the initiation, defense, or settlement of legal claims and proceedings.

3. Healthcare Decisions: The agent is empowered to make healthcare decisions for the principal, including consenting to medical treatment, accessing medical records, and communicating with healthcare providers.

4. Property Management: The agent shall manage and oversee the principal's real and personal property, including the leasing, sale, or maintenance thereof.

5. Governmental Affairs: The agent is granted authority to interact with governmental agencies and authorities on behalf of the principal, including filing taxes, applying for benefits, and representing the principal in administrative matters.

This Power of Attorney shall be construed broadly as a general power of attorney. The listing of specific powers is not intended to limit or restrict the powers of the Agent under this Power of Attorney.

III. Limitations of Agent Power

This Power of Attorney limits the Agent's powers to the specific tasks or decisions listed above. The Agent does not have power or authority to do anything that is otherwise illegal in the state of Michigan, or to do any acts that I could not do.

IV. Effective Date and Duration

This Power of Attorney shall be effective as of [EFFECTIVE DATE] and shall remain in effect until revoked by the Principal or terminated by operation of law.

V. Revocation

I revoke said Power of Attorney in its entirety and declare it null and void. I direct all relevant parties and institutions to cease recognizing the authority granted to the Agent under the aforementioned Power of Attorney immediately upon receipt of this revocation.

VI. Governing Law

This Limited Power of Attorney shall be governed by and construed in accordance with the laws of the State of Michigan. Any disputes arising out of or relating to this Power of Attorney shall be resolved exclusively in the courts of the State of Michigan.

VII. Signatures

IN WITNESS WHEREOF, I have executed this Insurance Power of Attorney on [DATE].

[YOUR NAME] (Principal)

ACCEPTANCE OF THE AGENT

I, [AGENT NAME], acknowledge that I have read and understood the terms and responsibilities outlined in this Power of Attorney document. I accept the appointment as Agent and agree to act under the instructions and limitations provided herein.

[AGENT'S NAME] (Attorney-in-effect)

WITNESS ACKNOWLEDGEMENT

We, the undersigned witnesses, attest that the Principal and Agent signed this Power of Attorney in our presence and that they appeared to be of sound mind and acting willingly.

[WITNESS 1 FULL NAME]

[DATE]

[WITNESS 2 FULL NAME]

[DATE]

NOTARY ACKNOWLEDGEMENT

On this            day of               in the year                , before me, a Notary Public in and for said County and State, personally appeared [YOUR NAME], known to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged that they executed the same for the purposes therein contained.

Witness my hand and official seal.

[NOTARY PUBLIC'S NAME]

My Commission Expires:                              

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