Military Power of Attorney Form - Louisiana

LOUISIANA'S MILITARY POWER OF ATTORNEY
STATE OF LOUISIANA
PARISH OF _______________________
This is a MILITARY POWER OF ATTORNEY prepared pursuant to Title 10, United
States Code, Section 1044b and executed by a person authorized to receive legal assistance
from the military services. Federal law exempts this power of attorney from any requirement of
form, substance, formality, or recording that is prescribed for powers of attorney under the laws
of a state, the District of Columbia, or a territory, commonwealth, or possession of the United
States. Federal law specifies that this power of attorney shall be given the same legal effect as
a power of attorney prepared and executed in accordance with the laws of the jurisdiction where
it is presented.
Additionally, this form is specifically designed for use under Louisiana law, including
transactions involving immovable property. It is suggested for use by any person authorized to
receive legal assistance from the military service in accordance with federal or state law, who by
these presents represents and warrants that he is so eligible. Any person to whom this form is
presented may conclusively rely on the authority purportedly granted hereunder.
BE IT KNOWN THAT on this _______ day of _________________, 20___, before me,
Notary Public in and for said parish and state, duly commissioned and qualified as such,
personally came and appeared _________________________________, who declared that
he/she is a member of the __________________________, a branch of the military designated
in R.S. 9:3861, or is otherwise included thereunder, and did execute and sign the following
Military Power of Attorney.
I,___________________________________________________________________________
(YOUR NAME AND ADDRESS)
appoint______________________________________________________________________
(NAME AND ADDRESS OF THE PERSON APPOINTED, OR OF EACH PERSON
APPOINTED IF YOU WANT TO DESIGNATE MORE THAN ONE)
as my agent (attorney-in-fact) to act for me in any lawful way with respect to the following
initialed subjects:
I. GENERAL POWERS
TO GRANT OR WITHHOLD ANY OF THE FOLLOWING POWERS, INITIAL THE LINE IN
FRONT OF IT IN THE APPROPRIATE COLUMN ("YES" OR "NO"). (THE GRANTING OF
POWERS AFFECTING IMMOVABLE PROPERTY IS PROVIDED IN A SEPARATE SECTION.)
YES ____ NO ____ (A) Tangible personal property transactions.
YES ____ NO ____ (B) Stock and bond transactions.
YES ____ NO ____ (C) Commodity and option transactions.
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