Uniform Statutory Form Power of Attorney - California

UNIFORM STATUTORY FORM POWER OF ATTORNEY
(California Probate Code Section 4401)
NOTICE: THE POWERS GRANTED BY THIS DOCUMENT ARE BROAD
AND SWEEPING. THEY ARE EXPLAINED IN THE UNIFORM STATUTORY
FORM POWER OF ATTORNEY ACT (CALIFORNIA PROBATE CODE
SECTIONS 4400-4465). IF YOU HAVE ANY QUESTIONS ABOUT THESE
POWERS, OBTAIN COMPETENT LEGAL ADVICE. THIS DOCUMENT DOES
NOT AUTHORIZE ANYONE TO MAKE MEDICAL AND OTHER HEALTH-
CARE DECISIONS FOR YOU. YOU MAY REVOKE THIS POWER OF
ATTORNEY IF YOU LATER WISH TO DO SO.
I, , who currently reside at
appoint
,who currently resides at
or if that person
is no longer willing or able, who currently resides at
or if that person
is no longer willing or able who currently resides at
as my agent
(attorney-in-fact) to act for me in any lawful way with respect to the following
initialed subjects:
TO GRANT ALL OF THE FOLLOWING POWERS, INITIAL THE LINE IN
FRONT OF (N) AND IGNORE THE LINES IN FRONT OF THE OTHER
POWERS.
TO GRANT ONE OR MORE, BUT FEWER THAN ALL OF THE
FOLLOWING POWERS, INITIAL THE LINE IN FRONT OF EACH POWER YOU
ARE GRANTING.
TO WITHHOLD A POWER, DO NOT INITIAL THE LINE IN FRONT OF
IT. YOU MAY, BUT NEED NOT, CROSS OUT EACH POWER WITHHELD.
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