Statutory Short Form Power of Attorney - Minnesota

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STATUTORY SHORT FORM POWER OF ATTORNEY
MINNESOTA STATUTES, SECTION 523.23
Minnesota Uniform Conveyancing Blanks
Form 100.1.1 (2011)
IMPORTANT NOTICE: The powers granted by this document are broad and sweeping. They are defined in Minnesota Statutes,
Section 523.24. If you have any questions about these powers, obtain competent advice. This power of attorney may be revoked by
you if you wish to do so. This power of attorney is automatically terminated if it is to your spouse and proceedings are commenced
for dissolution, legal separation, or annulment of your marriage. This power of attorney authorizes, but does not require, the
attorney-in-fact to act for you.
PRINCIPAL (Name and Address of Person Granting the Power)
ATTORNEY(S)-IN-FACT
(Name and Address)
SUCCESSOR ATTORNEY(S)-IN-FACT (Optional)
To act if any named attorney-in-fact dies, resigns, or is otherwise
unable to serve
(Name and Address)
First Successor
Second Successor
NOTICE: If more than one attorney-in-fact is designated, make a
check or “x” on the line in front of one of the following statements:
Each attorney-in-fact may independently exercise the
powers granted.
All attorneys-in-fact must jointly exercise the powers
granted.
EXPIRATION DATE
(Optional)
,
Use Specific Month Day Year Only
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