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Uniform Statutory Form Power of Attorney <br /> (California Probate Code Section 4401) <br /> NG. THEY ARE <br /> NOTICE: THE POWERS GRANTEDSTATUTORY FORMUMENT ARE BROAD AND OF ATTORNEY ACT (CALIFORNIA EXPLAINED IN THE UNIFORM PROBATTE <br /> 00-4465). IF YOU HAVE ANY <br /> NS ABOUT <br /> CODE SECTIONS THIS DOCUMENT DOESNOTAOUTHORIZZE ANYONE TO MAKE MEDICAL <br /> OWERS, OBTAIN <br /> COMPETENT LEGALL ADVICE.ADVICE. <br /> AND OTHER HEALTHCARE DECISIONS FOR YOU. YOU MAY REVOKE THIS POWER OF ATTORNEY I <br /> YOU LATER WISH TO DO SO. <br /> our name <br /> and a dress) appoint `= '� <br /> )_ <br /> „C (name and address of he person appointed, or of each person <br /> appointed if you want to e�ign to more than one) as my agent (attorney-in-fact) to act for me in any lawful way <br /> with respect to the following initialed subjects: <br /> TO GRANT ALL OF THE FOLLOWING POWERS, INITIAL THE LINE IN FRONT OF (N) AND IGNORE <br /> THE LINES IN FRONT OF THE OTHER POWERS. <br /> TO GRANT ONE OR MORE, <br /> FEWER <br /> NTHAN <br /> ALL, OF THE FOLLOWING POWERS, INITIAL THE <br /> LINE IN FRONT OF EACH POWER YOU ARE G <br /> TO WITHHOLD A POWER, DO NOT INITIAL THE LINE IN FRONT OF IT. YOU MAY, BUT NEED NOT, <br /> CROSS OUT EACH POWER WITHHELD. <br /> V (A) Real property transactions. <br /> /1 . (B) Tangible personal property transactions. <br /> (C) Stock and bond transactions. <br /> (D) Commodity and option transactions. <br /> (E) Banking and other financial institution transactions. <br /> _ (F) Business operating transactions. <br /> � (G) Insurance and annuity transactions. <br /> T— (H) Estate, trust, and other beneficiary transactions. <br /> (I) Claims and litigation. <br /> (d) Personal and family maimenance. <br /> (K) Benefits from social security, medicare, medicaid, or other governmental programs, or <br /> civil or military service. <br /> (L) Retirement plan transactions. <br /> (NI) Tax matters. <br /> (N) ALL OF THE POWERS LISTED ABOVE. <br /> YOU NEED NOT INITIAL ANY OTHER LINES IF YOU INITIAL LINE (N). <br /> SPECIAL INSTRUCTIONS: <br /> ON THE FOLLOWING LINES YOU MAY GIVE SPECIAL INSTRUCTIONS LIMITING OR EXTENDING THE <br /> POWERS GRANTED TO YOUR AGENT. <br /> UNLESS YOU DIRECT OTHERWISE ABOVE, THIS POWER OF ATTORNEY IS EFFECTIVE <br /> IMMEDIATELY AND WILL CONTINUE UNTIL IT IS REVOKED. <br /> This power of attorney will continue to be effective even though I become incapacitated. <br /> STRIKE THE PRECEDING SENTENCE IF YOU DO NOT WANT THIS POWER OF ATTORNEY TO <br /> CONTINUE IF YOU BECOME INCAPACITATED. <br />