ARKANSAS STATUTORY POWER OF ATTORNEY
NOTICE: THE POWERS GRANTED BY THIS DOCUMENT ARE BROAD AND SWEEPING. THEY ARE
EXPLAINED IN THE UNIFORM STATUTORY FORM POWER OF ATTORNEY ACT. IF YOU HAVE ANY
QUESTIONS ABOUT THESE POWERS, OBTAIN COMPETENT LEGAL ADVICE. THIS DOCUMENT DOES
NOT AUTHORIZE ANYONE TO MAKE MEDICAL AND OTHER HEALTH-CARE DECISIONS FOR YOU.
YOU MAY REVOKE THIS POWER OF ATTORNEY IF YOU LATER WISH TO DO SO.
I __________________________ (insert your name and address) appoint ____________________________ (insert the
name and address of the person appointed) 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
_______ (A) Real property transactions.
_______ (B) Tangible personal property transactions.
_______ (C) Stock and bond transactions.
_______ (D) Commodity and option transactions.
_______ (E) Banking and other financial institution transactions.
_______ (F) Business operating transactions.
_______ (G) Insurance and annuity transactions.
_______ (H) Estate, trust, and other beneficiary transactions.
_______ (I) Claims and litigation.
_______ (J) Personal and family maintenance.
_______ (K) Benefits from social security, medicare, medicaid, or other governmental programs, or military service.
_______ (L) Retirement plan transactions.
_______ (M) Tax matters.
_______ (N) ALL OF THE POWERS LISTED ABOVE. 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.
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