Laserfiche WebLink
202105214 <br />DESIGNATION OF SUCCESSOR AGENT(S) (OPTIONAL) <br />If rrir,, agent is unable or unwilling to act 4or rne I name as my successor agent <br />Name of successor agent <br />`.;,;0cessor agents aciates <br />Sircoessior agent s te,lepflOtle <br />It in y sucLessor agent 1; unable or ‘invy.iling to act tOf me I name as my second successor <br />Narit, of SeConJ su &ss3'.;ent <br />Second successor agent s address <br />Second successor agent s: telephone rurnber <br />GRANT OF GENERAL AUTHORITY <br />I gi.unt 71 agent an:1 ur; SuC7.eSS1 ,igt!lf genera; autnorIty to act for me with respect to the <br />s,,Diticts as defined in ttle „int)rm Poet of Attorney Act part / of article 14 of title 15. <br />ado Pit-.visect Statutes <br />IN 7L icn sirti;ecrt you ii.Ari! !.0 ,n agents general authority If you wish to <br />drart 'ieuL,rct' atittryby over di ut tine soo,erts ,ou rr.dy mit al A'l preceding suOjects instead of <br />ear..n <br />Rei prcpert, <br />1 3ng rde sr•r3, pr,r)e-t, <br />tcy, s dr1,1 DuCCIS <br />Cnrod:esArt: opt,cmn-. <br />tianKs ard otner 41riii",(1;,) nS!itof.rins <br />Uperatiun Lit ent ty tr,Lis ness <br />in,trance J:—,1 3r <br />Est3t,•s t',1StS and otrier t,enet c irt-CSS <br />3(urs an t <br />PHrsona! anti farn y ni <br />Fee's fr")"1 er Pc en':7programs: programso r C,dil or tro,ktary service <br />Retirement p ans <br />Taxes <br />t 't A'preced ng sets <br />GRANT OF SPECIFIC AUTHORITY (OPTIONAL) <br />My agent ry1Av NOT tiny of Int:.ln n spec.fic ac:ts 'or rile UN[ ESS I nave INITIALED <br />nresof litrior t, eJ beirur. <br />CALI1 ON Granting arly Of the fOliOyving give your agent the aUtharty to take actions that could <br />siTuficanny your oroberti Jr ( rIoN i,.)ur property Is TstribLited at your death INITIAL <br />ON,ILY fineSnL c aaWo'lt•:; Vou WANT t glueyadent <br />sl 11 ()1 I /I 011 11/0 S 1 111 11 )1(1 1 ()i(N1 r()NN ER 01 lIORNI Page 2 of t) <br />