General Durable Power of Attorney Form

RECORDING REQ UESTED BY
AND WHEN RE CO RDED MAIL TO
STREET
ADDRESS
CITY
STATE
ZIP
_____________________________________________________ SPACE ABOVE THIS LINE FOR RECORDER’S USE
POWER OF ATTORNEY GENERAL [include s opt io nal DURABLE POWE R OF ATTORNEY]
KNOW ALL PERSON BY THESE PRESENT S: That I, ________________________________________
the undersigned (jointly or severall y, if more than one) hereby make, constitute and appoint
_____________________________________________________________________________________________
my true and lawful Attorney for me and in my name, place and stead and for may use and b enefit:
(a) To ask, demand, sue for, recover, collect and receive each and every su m of money, debt, account,
legacy, be quest interest, d ividend, ann ui ty and demand (which now is or hereafter sha l l b ecame due , owing or
payable) belo n ging to or claimed by me, and to use and take any lawful means for the recovery thereof by legal
process or otherwise, and to execute and deliver a satisfaction or release therefore, together with the right and power
to compromise or compound any claim or demand;
(b) To exercise any or all of th e follo wing powers as to real pr o p er ty, any interest therei n a nd/or an y
building Thereo n: T o contract for , purchase, receive and take possession thereof and of evidence of title thereto; to
lease the same for any ter m or purpo se, including leases for business, residence, and oil and/or mineral development;
to sell, exchange, grant or convey the same with or without warr anty; and t o mortgage, transfer in trus t, or ot herwise
encumber o r hypothecate the same to secure payment of a negotiable or non-negotiable note or performance of any
ob ligation or agre ement.
(c) To exercise any of all of the follo wing powers as to all kinds of personal property and goods, wares and
mercha ndise, choses in action and other pro p er ty in possession or in action: To contract for, buy, sell, exchange,
tr ansfer and in an y legal manner d eal in and with the s ame, and to mortgage, transfer in trust, or o therwise enc umber
or hypothecate the same to secure payment of a negotiable or non-negotiable note or p er formance of any obligation
or agreement.
(d) To borrow money and to execute and deliver negotiable or non-negotiab le notes therefore with or
without s ecurity; and to l oan money and r eceive nego tia ble or non-negotiable note or performance notes there for
with s uch se curity as he/she sha ll deem p rop er;
(e) To create, amend, supplement and termina te any trust and to instruct and advise the trustee of any trust
wherein I am or may be trustor or beneficiar y; to repr esent and vote stock, exercise stock rights, accept and deal
with any dividend, distrib ution or bonus, join in any c orpora te fina ncing, reorgani zation, merger , li quida tion,
consolidation or other action and the extension, compromise, conversion, adjustment, enforcement or foreclosure,
singly or in conjunc tion or o ther action and the exten s ion, compromise, conversion, adjustment, enforcement or
foreclosure, singly or in conjunction with others of any corporate stock, bond, by or to me and to give or accept any
prop er t y and/or money whethe r or not eq ual t o or le ss in value than the amo unt owing in pa yment, se ttlement or
satisfaction there of;
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T HI S FORM IS NOT VALID FOR HEALTH CARE DECISIONS.
Before yo u use this form, fill in all blanks, and make whate v er changes are approp r iate and necessar y to your
particular Transaction. Consult a lawyer if yo u doubt the form’s fitness for your purpose and use. County makes no
representation or war r an ty, e x p r ess or implied, with respect to the merchantability or fitness of this form for an
intended use or purpose.
1400 Rev. 2 -01 (price class 2c)
POWER OF ATTORNEY GENERAL (includes optional DURABLE POW E R OF AT TORNEY)
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