General Power of Attorney Form - Queensland

2
Appointing a person or persons as your attorney
As principal (the person making the appointment), you
complete this form by writing your responses on the lines and
ticking the appropriate boxes. Then sign the form and have
your signature witnessed. Any adult may witness your
signature. However, if this power of attorney is required to be
registered under the Land Titles Act, the witness must be a
justice of the peace, a commissioner for declarations, a lawyer
or a notary public.
Appointment of attorney or attorneys
1. I, ______________________________________________________________________________ ,
[Print your full name here]
of _____________________________________________________________________________ ,
[Print your address here]
appoint the following person/s as my attorney/s:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
[Print here the name/s (or official position) of the person/s you want to act as your attorney/s]
2. Are you appointing more than one attorney ?
No ° Go to clause 4.
Yes.
3. How do you prefer that they make their decisions? (Tick one box only)
Severally (any one of them may decide)
Jointly (unanimously)
As a majority (specify, e.g. simple majority, two-thirds majority, etc.)
________________________________________________________________________________
Other*
________________________________________________________________________________
Note: The Powers of Attorney Act 1998 allows you to appoint successive attorney/s for a matter so that the power
is given to a particular attorney only when power to a previous attorney ends. You can nominate the
circumstances that a power will end (eg. if x leaves the jurisdiction, y may act).
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General Power of Attorney Form - Queensland PDF

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