DATED THIS _______________________ DAY OF ___________________________ 2023

[INSERT DONOR’S NAME]

TO

[INSERT DONEE’S NAME]

________________________________
DURABLE POWER OF ATTORNEY
________________________________

DRAWN BY:
[INSERT DONOR’S NAME]

BY THIS DURABLE POWER OF ATTORNEY given this…………Day of…………………2023, I
[INSERT DONOR’S NAME] of ID Number [INSERT DONOR’S ID] and of Address [INSERT
DONOR’S ADDRESS] in the State of [INSERT], HEREBY APPOINT [INSERT DONEE’S
NAME] of ID Number [INSERT DONEE’S ID] and of Address [INSERT DONEE’S ADDRESS] in
the State of [INSERT] to be my true and lawful Attorney and Agent, with full power and authority,
for me and in my name and for my account and benefit, to manage, transact, and generally
conduct all lawful business or activity and without reference to me to act for and on my behalf in
[INSERT STATE/COUNTRY] in every respect as fully and effectively as I could act in person
concerning all my rights and interests, real and personal in respect of all my property, movable
or immovable within [INSERT STATE/COUNTRY]:
1. Generally, to exercise full control over all my property including but not limited to the
rights to manage, control, operate, improve, transfer, sell, mortgage, lien, destroy and
dispose of the said property absolutely in any manner that the Attorney may in their
absolute discretion see fit and without any obligation to give reasons or justification as if
the said assets were the property of the Attorney.
2. To receive, call upon, recover, collect and otherwise take the benefit of all income or
capital benefit from all of my property including but not limited to trading income, passive
income of any source, rental income, income from dividends, shares, income from
employment, pensions, trusts, annuities, bequests, legacies and any other property as if
that income and capital were the property of the Attorney and without any obligation to
give reasons or justification for their actions.
3. To agree, negotiate and make any agreement, promise or undertaking concerning my
property with any third party whether written or not and on such terms and for such
consideration as the Attorney may in their absolute discretion see fit.
4. To settle and make payment of all debts, taxes, charges, professional fees and other
obligations or liabilities due to me whether by payment of cash or by the transfer,
assignment or sale of my property.
5. To sign and execute on my behalf all documents and formalities which the Attorney in
their absolute discretion considers to be necessary to or conducive to the execution of
any of the powers set out in this general power of attorney including but not limited to the
executing and signing of deeds, contracts, agreements, declarations, mortgages.
6. To sue or bring other legal action on my behalf against any third-party for whatever
reason the Attorney may in their absolute discretion see fit and to settle said legal action
by any means the Attorney may see fit including the making and accepting of out of
court settlements.
7. To appear in my name before any competent court and legal or public authority including
but not limited to all national authorities.
8. To manage and transact all my affairs in [INSERT STATE] and execute such deeds or
instruments as may be necessary, or most to my advantage, and to use all lawful ways
and means thereto, as fully and effectively to all intents and purposes as I might or could
do if personally present and acting in that respect.

9. To undertake any other action which my Attorney may in their absolute discretion deem
necessary or conducive to the exercise of the powers contained within this durable
Power of Attorney.
MOREOVER, to sign, attend and otherwise participate on my behalf and in my name as long as
I do not revoke this Power of Attorney to (in so far as my signature, attendance or participation
would be requisite) all documents, correspondence, meetings and other activities herein.
I thus revoke any and all Durable Powers of Attorneys that I have previously issued and
executed.

DECLARATION

IT IS HEREBY DECLARED THAT, I [INSERT DONOR’S NAME] agree to ratify all that shall be
done by the Attorney or cause to be done by him in the execution of this power of attorney.

REVOCATION

This durable power of attorney is effective immediately and shall remain valid even if I become
incapacitated in the future.

SIGNED by the said: }
[INSERT DONOR’S NAME] } …………………………

I, [INSERT DONEE’S NAME] hereby accept appointment as the Attorney on the above terms.
SIGNED by the said: }
[INSERT DONEE’S NAME] } ……………………………

On this _________ day of ___________________, 20_____, the above-named
______________________________________ personally appeared before me and
acknowledged the foregoing to be (his/her) free act and deed.

………………………………………….
Notary Public
Dated:
Seal

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