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<br />.' Statutory Durable Power of Attorney Form <br /> <br />"',(lGOB7 <br /> <br />Page I of3 <br /> <br />. <br /> <br />(){ "i 'n <; lA~ <br /> <br />THE TExAs P"OB..\. Tr;:~~B SITE J <br />WWW .TE?CA$PROJ3~:r..~~c;o~. <br /> <br />I>. ,,---. J. AI> .. " '" "r'4 ". r-';' . 1Mt.l~ <br /> <br />This form is intended for use by licensed Texas attorneys only. Use at your own risk. No attorney- <br />client relationship is established. See" About This Site" for warranty and copyright information <br />and for disclaimers about nonlawyers using this site. <br /> <br />STATUTORY DURABLE POWER OF ATTORNEY <br /> <br />NOTICE: THE POWERS GRANTED BY THIS DOCUMENT ARE BROAD AND SWEEPING. <br />THEY ARE EXPLAINED IN THE DURABLE POWER OF A TIORNEY ACT, CHAPTER XII, <br />TEXAS PROBATE CODE. IF YOU HAVE ANY QUESTIONS ABOUT THESE POWERS, OBTAIN <br />COMPETENT LEGAL ADVICE. THIS DOCUMENT DOES NOT AUTHORIZE ANYONE TO <br />MAKE MEDICAL AND OTHER HEALTH-CARE DECISIONS FOR YOU. YOU MAY REVOKE <br />THIS POWER OF ATTORNEY IF YOU LATER WISH TO DO SO. <br />BJ2,.lt.IttYfI'),.,.,q <br />I, tit.lt. fILrrcHt:tr} .:lblm ec,.,.M.~f,.J€RL77I Av~. 11'1'111 , (insert your name and address), appoint <br />tmt HuFtntJ) (, /0 Lj=1t:1J S'~d 5.1:. , PIl1!...,S I T)( (insert the name and <br />address of the pdrson appointed) as my agent (attorney-in-fact) to act for me in any lawful way with <br />respect to all of the following powers except for a power that I have crossed out below. <br /> <br />TO WITHHOLD A POWER, YOU MUST CROSS OUT EACH POWER WITHHELD. <br /> <br />Real property transactions; <br /> <br />Tangible personal property transactions; <br /> <br />-- ~tee]( EHul bend. traFlsaetiol'iJ; . <br /> <br />--- C<51lUIlud~ty aHa optiOl~ trMlSae,tiO!lb, <br /> <br />Banking and other financial institution transactions; <br /> <br />~ <br />.-..: <br />,'.:., . <br /> <br />t::> <br /> <br />Business operating transactions; <br /> <br />. .... <br /> <br />':...') <br />;-'1 <br />"v <br />r.,) <br />c.:., <br /> <br />....... IpSlIT:mt'e and a:r..n1:lity 1:1 ClJl:>Cldiuns; <br /> <br />Estate, trost, EmS other tJ8Re:f.ieiary trtl:nbCl...L~on5, <br /> <br />I' <br />f . <br />-! ! .':.' < -. <br />~~ '. <br /> <br />~'':l <br /> <br />- .' ~.") <br /> <br />Claims and litigation; <br /> <br />-.; <br /> <br />/', ".) <br />-.J <br /> <br />Personal and family maintenance; <br /> <br />RP 111 et4GE0161 <br /> <br />http://www.texasprobate.comlformslpoa.htm <br /> <br />9/17/2001 <br /> <br />T .. <br />