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RECORDING REQUESTED BY: |
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STEWART TITLE OF
CALIFORNIA, INC. |
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WHEN RECORDED MAIL TO: |
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ORDER NO. |
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ESCROW NO. |
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SPACE ABOVE THIS LINE FOR
RECORDER’S USE |
UNIFORM
STATUTORY FORM POWER OF ATTORNEY
(California Probate Code Sec. 4401)
NOTICE:
THE POWERS GRANTED BY THIS DOCUMENT ARE BROAD AND SWEEPING. THEY ARE EXPLAINED IN THE UNIFORM STATUTORY
FORM POWER OF ATTORNEY ACT (
I____________________________________________________________________________________
_____________________________________________________________________________________
(your name
and address)
appoint_______________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
(name and address of the
person appointed, or of each person appointed if you want to designate more
than one)
as my agent (attorney-in-fact) to act for me in any
lawful way with respect to the following initialed subjects:
TO
GRANT ALL OF THE FOLLOWING POWERS, INITIAL THE LINE IN FRONT OF (N) AND IGNORE
THE LINES IN FRONT OF THE OTHER POWERS.
TO
GRANT ONE OR MORE, BUT FEWER THAN ALL, OF THE FOLLOWING POWERS, INITIAL THE
LINE IN FRONT OF EACH POWER YOU ARE GRANTING.
TO
WITHHOLD A POWER, DO NOT INITIAL THE LINE IN FRONT OF IT. YOU MAY, BUT NEED NOT, CROSS OUT EACH POWER
WITHHELD.
INITIAL |
INITIAL |
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(A) |
Real
property transactions. |
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(I) |
Claims
and litigation. |
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(B) |
Tangible
personal property transactions. |
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(J) |
Personal
and family maintenance. |
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(C) |
Stock
and bond transactions. |
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(K) |
Benefits
from social security, medicare, |
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(D) |
Commodity
and option transactions. |
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medicaid,
or other governmental programs, |
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(E) |
Banking
and other financial institution transactions. |
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or
civil or military service. |
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(F) |
Business
operating transactions. |
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(L) |
Retirement
plan transactions. |
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(G) |
Insurance
and annuity transactions. |
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(M) |
Tax
matters. |
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(H) |
Estate,
trust, and other beneficiary transactions. |
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(N) |
ALL
OF THE POWERS LISTED ABOVE. |
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YOU NEED NOT INITIAL ANY OTHER LINES IF YOU INITIAL LINE (N).
SPECIAL INSTRUCTIONS:
ON THE FOLLOWING LINES YOU MAY GIVE SPECIAL INSTRUCTIONS LIMITING OR EXTENDING THE POWERS GRANTED TO YOUR AGENT.
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
UNLESS YOU DIRECT OTHERWISE ABOVE, THIS POWER OF ATTORNEY IS EFFECTIVE IMMEDIATELY AND WILL CONTINUE UNTIL IT IS REVOKED.
This power of attorney will continue to be effective even though I become incapacitated.
STRIKE THE PRECEDING SENTENCE IF YOU DO NOT WANT THIS POWER OF ATTORNEY TO CONTINUE IF YOU BECOME INCAPACITATED.
If I have designated more than one agent, the agents are to act _______________________________.
IF YOU APPOINTED MORE THAN ONE AGENT AND YOU WANT EACH AGENT TO BE ABLE TO ACT ALONE WITHOUT THE OTHER AGENT JOINING, WRITE THE WORD “SEPARATELY” IN THE BLANK SPACE ABOVE. IF YOU DO NOT INSERT ANY WORD IN THE BLANK SPACE, OR IF YOU INSERT THE WORD “JOINTLY”, THEN ALL OF YOUR AGENTS MUST ACT OR SIGN TOGETHER.
I agree that any third party who receives a copy of this document may act under it. Revocation of the power of attorney is not effective as to a third party until the third party has actual knowledge of the revocation. I agree to indemnify the third party for any claims that arise against the third party because of reliance on this power of attorney.
Signed this _________ day of _______________________________________________, 20_______
___________________________________
Your
Signature
___________________________________
Your
Social Security Number
State of
County of ________________________________________
On __________________before me, (here insert name and title of the
officer), personally appeared __________________, who proved to me on the basis
of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to
the within instrument and acknowledged to me that he/she/they executed the same
in his/her/their authorized capacity(ies), and that
by his/her/their signature(s) on the instrument the person(s), or the entity
upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of
WITNESS my hand and official seal.
Signature ____________________________________________ (Seal)
DOCUMENT PROVIDED BY STEWART TITLE OF CALIFORNIA,
INC. PwrAttnyGeneral.DOC