Colorado Statutory Power of Attorney Form

NAME OF NOMINEE FOR GUARDIAN OF MY PERSON:
______________________________________________________________
NOMINEE'S ADDRESS:____________________________________________
NOMINEE'S TELEPHONE
NUMBER:____________________________________
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 HAS
TERMINATED OR IS INVALID.
SIGNATURE AND ACKNOWLEDGMENT
____________________________________ ________________________
YOUR SIGNATURE DATE
____________________________________
YOUR NAME PRINTED
____________________________________
____________________________________
YOUR ADDRESS
____________________________________
YOUR TELEPHONE NUMBER
STATE OF ____________________________
[COUNTY] OF _________________________
THIS DOCUMENT WAS ACKNOWLEDGED BEFORE ME ON
____________________,
(DATE)
BY__________________________________.
(NAME OF PRINCIPAL)
____________________________________ (SEAL, IF ANY)
SIGNATURE OF NOTARY
MY COMMISSION EXPIRES: ________________________
THIS DOCUMENT PREPARED BY:
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Colorado Statutory Power of Attorney Form DOC

Colorado Statutory Power of Attorney Form PDF

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