I, , the undersigned, residing at (the "Principal"), hereby appoint , residing at (the "Agent"), as an attorney-in-fact to act on my behalf.
If my Agent is unable or unwilling to act on my behalf, I appoint who resides at as my successor agent (the "Successor Agent").
The Agent and the Successor Agent are entitled to act on my behalf in the following matters:
Duration
This Durable Power of Attorney shall remain in effect even if I become incapacitated or unable to make decisions, except as may be provided otherwise by applicable state law. It will remain in effect until .
I reserve the right to revoke this Power of Attorney at any time by giving written notice to my Agent(s).
The powers of the Agent(s)
The powers of my Agent(s) shall be effective as of the date of signing this document (the "Effective Date").
Remuneration for the Agent's services
Reimbursement of reasonable expenses
I authorize my Agent to be reimbursed for reasonable expenses incurred while performing duties under this Power of Attorney. These expenses may include but are not limited to travel expenses, communication expenses, postage, and other directly related out-of-pocket expenses. The Agent(s) must keep records of all expenses and submit a detailed report for reimbursement.
Revocation of previous powers of attorney
I hereby revoke all previous powers of attorney, agency agreements, or other documents that I may have signed in part or whole related to the specified matters. This Durable Power of Attorney is intended to replace and supersede any previous documents. I further authorize all institutions, individuals, and legal entities that have received or been provided with copies of such previous documents to be notified of this revocation.
Governing law
This Power of Attorney is governed by the laws of the State of .
IN WITNESS THEREOF, this Durable Power of Attorney is executed on in , .
_______________
(Place for signature)
Notary Acknowledgment
Sworn to and subscribed before me on .
____________________
Notary public's name and seal