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LF205 -04 <br />R205 -04 <br />20040690 <br />GENERAL POWER OF ATTORNEY <br />(With Durable Provision) <br />NOTICE: THIS IS AN IMPORTANT DOCUMENT. BEFORE SIGNING THIS DOCU- <br />MENT, YOU SHOULD KNOW THESE IMPORTANT FACTS. THE PURPOSE OF THIS <br />POWER OF ATTORNEY IS TO GIVE THE PERSON WHOM YOU DESIGNATE (YOUR <br />"AGENT ") BROAD POWERS TO HANDLE YOUR PROPERTY, WHICH MAY <br />INCLUDE POWERS TO PLEDGE, SELL OR OTHERWISE DISPOSE OF ANY REAL <br />OR PERSONAL PROPERTY WITHOUT ADVANCE NOTICE TO YOU OR APPROVAL <br />BY YOU. YOU MAY SPECIFY THAT THESE POWERS WILL EXIST EVEN AFTER <br />YOU BECOME DISABLED, INCAPACITATED OR INCOMPETENT. THIS DOCUMENT <br />DOES NOT AUTHORIZE ANYONE TO MAKE MEDICAL OR OTHER HEALTH CARE <br />DECISIONS FOR YOU. IF THERE IS ANYTHING ABOUT THIS FORM THAT YOU DO <br />NOT UNDERSTAND, YOU SHOULD ASK A LAWYER TO EXPLAIN IT TO YOU. YOU <br />MAY REVOKE THIS POWER OF ATTORNEY IF YOU LATER WISH TO DO SO. <br />TO ALL PERSONS, be it known that I, <br />of � L , <br />the unders Gran or, do h�ymake nd g rant a general power of attorney to <br />of Y &LA / -jflLv(- t /V L / <br />and do thereupon constitute and appoint said individual as my attorney -in- fact/agent. <br />My attorney -in- fact/agent shall act in my name, place and stead in any way which I myself could do, if I <br />were personally present, with respect to the following matters, to the extent that I am permitted by law to act through <br />an agent: <br />(NOTICE: The grantor must write his or her initials in the corresponding blank space of a box below with respect <br />to each of the subdivisions (A) through (0) below for which the Grantor wants to give the agent authority. If the blank <br />space within a box for any particular subdivision is NOT initialed, NO AUTHORITY WILL BE GRANTED for <br />matters that are included in that subdivision. Cross out each power withheld.) <br />[ A7- ] <br />(A) <br />Real estate transactions <br />[ CW-T- ] <br />(B) <br />Tangible personal property transactions <br />[ p- ] <br />(C) <br />Bond, share and commodity transactions <br />(D) <br />Banking transactions <br />[ ] <br />(E) <br />Business operating transactions <br />[ o� r ] <br />(F) <br />Insurance transactions <br />[ ] <br />(G) <br />Gifts to charities and individuals other than Attorney- in- Fact/Agent <br />(If trust distributions are involved or tax consequences are anticipated, consult an attorney.) <br />T a.x ?AV & 2L,., t <br />1992 -2001 Made <br />E -Z Products, <br />Inc. Page I Rev. 10 /01 <br />This product does <br />not constitute <br />the rendering of legal advice or services. This product is intended for informational use only and is not a substitute for legal <br />advice. State laws vary, so consult <br />an attorney on all legal matters. This product was not necessarily prepared by a person licensed to practice law in your state. <br />AEAK <br />