Page 2 of 5 (Legal Forms Bank.biz)
__________ (E) Banking and other financial institution transactions.
__________ (F) Business operating transactions.
__________ (G) Insurance and annuity transactions.
__________ (H) Estate, trust, and other beneficiary transactions.
__________ (I) Claims and litigation.
__________ (J) Personal and family maintenance.
__________ (K) Benefits from social security, medicate, medicaid, or other
governmental programs or military service.
__________ (L) Retirement plan transactions.
__________ (M) Tax matters.
UNLESS YOU DIRECT OTHERWISE, THIS POWER OF ATTORNEY IS
EFFECTIVE IMMEDIATELY AND WILL CONTINUE UNTIL IT IS REVOKED OR
TERMINATED AS SPECIFIED BELOW. STRIKE THROUGH AND WRITE YOUR
INITIALS TO THE LEFT OF THE FOLLOWING SENTENCE IF YOU DO NOT
WANT THIS POWER OF ATTORNEY TO CONTINUE IF YOU BECOME
DISABLED, INCAPACITATED, OR INCOMPETENT.
1. (_________) This power of attorney will continue to be effective even though I
become disabled, incapacitated, or incom petent.
YOU MAY INCLUDE ADDITIONS TO AND LIMITATIONS ON THE
AGENT'S POWERS IN THIS POWER OF ATTORNEY IF THEY ARE
SPECIFICALLY DESCRIBED BELOW.
2. The powers granted above shall not include the following powers or shall be modified
or limited in the following manner (here you may include any specific limitations you
deem appropriate, such as a prohibition of or conditions on the sale of particular stock or
real estate or special rules regarding borrowing by the agent):
3. In addition to the powers granted above, I grant my agent the following powers
(here you may add any other delegable powers, such as the power to make gifts, exercise
powers of appointment, name or change beneficiaries or joint tenants, or revoke or amend
any trust specifically referred to below):