Page 3 of 3 Minnesota Uniform Conveyancing Blanks Form 100.1.1
FOURTH: (You may indicate below whether or not the attorney-in-fact is required to make an accounting. Make a check or “x” on the line
in front of the statement that expresses your intent.)
My attorney-in-fact need not render an accounting unless I request it, or the accounting is otherwise required by
Minnesota Statutes, section 523.21.
My attorney-in-fact must render accountings to
(Monthly, Quarterly, Annual)
during my lifetime, and a final accounting to the personal representative of my estate, if any is appointed, after my death.
In Witness Whereof I have hereunto signed my name this day of , .
(Signature of Principal)
ACKNOWLEDGEMENT OF PRINCIPAL
State of Minnesota, County of
This instrument was acknowledged before me on , by
(month/day/year) (insert name of Principal)
(signature of notarial officer)
Title (and Rank):
My commission expires:
THIS INSTRUMENT WAS DRAFTED BY:
(insert name and address)
Specimen signature of Attorney(s)-in-Fact
(Notarization not required)