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FINANCIAL DURABLE GENERAL POWER OF ATTORNEY

Advisory Notice to Agent: ARS § 14-5506 governs the exercise of powers of attorney. Under that

statute, an agent cannot receive ANY benefits from the principal unless those benefits are specifically

identified in detail within this instrument or within a written contract. Otherwise, the agent could be

subject to criminal prosecution or subject to the penalty provisions of ARS § 46-456, which authorizes

the loss of the agent’s right to inherit from the principal as well as payment of treble damages and

attorneys’ fees. An agent should carefully review these statutes or consult with a knowledgeable

attorney prior to exercising the authority granted by this power of attorney.

ARTICLE ONE

GRANT OF POWERS

I, the undersigned principal, ____________________________ currently residing at

______________________________________, hereby appoint __________________________,

currently residing at _________________________________________________, (hereinafter referred

to as the "Agent"), as my attorney in fact, hereby granting the Agent full power and authority, as though

the Agent were the absolute owner of my assets and liabilities, to perform those acts for me and in my

name, place, and stead as expressly provided below as fully as I could perform if personally present and

not disabled, incapacitated or incompetent.

THIS POWER OF ATTORNEY SHALL BECOME EFFECTIVE AS OF THE DATE I

SIGN THIS DOCUMENT AND SHALL NOT BE AFFECTED BY MY DISABILITY,

INCAPACITY OR INCOMPETENCY OR BY LAPSE OF TIME.

By placing my initials following the description of each selected power set forth below, and by

causing the witness to place his or her initials below my initials for each selected power, the principal

acknowledges that [s/he] has reviewed and expressly approved of the delegation hereunder of each

selected power to my Agent):

1. Power to Buy and Sell. To transfer, sell, purchase, lease, encumber, assign, exchange and

convey, or exercise any option, election, privilege or power with respect to any or all property, real and

personal, tangible and intangible, within or without the State of Arizona, as the Agent in his or her sole

discretion determines, and to disclaim any interest in any property to which I would otherwise succeed.

Initials: _____________ _____________

Principal Witness

2. Power with Respect to Bank Accounts. To establish accounts of all kinds, including, without

limitation, checking and savings accounts, for me with financial institutions of any kind, including banks

and other similar financial institutions; to modify, terminate, make deposits to or write checks on or

make withdrawals from and grant security interests in all accounts in my name or with respect to which I

am an authorized signatory (except any accounts held by me in a fiduciary capacity), whether or not

such account was established by me or for me by the Agent, to negotiate, endorse or transfer any checks

or other instruments with respect to any such accounts; and to contract for any services rendered by any

bank or financial institution.

Initials: _____________ _____________

Principal Witness

3. Power with Respect to Safe Deposit Boxes. To contract with any institution for the

maintenance of a safe deposit box in my name; to have access to all safe deposit boxes in my name or

with respect to which I am an authorized signatory, whether or not the contract for such safe deposit box

was executed by me (either alone or jointly with others) or by the Agent in my name; to add to and

remove from the contents of any such safe deposit box and to terminate any and all contracts for such

boxes.

Initials: _____________ _____________

Principal Witness

4. Power to Demand, Receive, Prosecute or Defend. To ask, demand, sue for and receive all

sums of money which are or shall become due, owing or payable to me, or which belong or shall belong

to me, whether social security benefits, pension payments, individual retirement accounts, dividends,

interests, annuities, debts, or any other receivables, and to use all lawful ways and means in my name for

the recovery thereof, and to prosecute or defend actions, claims or proceedings in any jurisdiction. and

to defend suits at law.

Initials: _____________ _____________

Principal Witness

5. Brokerage Accounts. With respect to any account with any brokerage firm: (a) to effect

purchases and sales (including short sales), to subscribe for and to trade in stocks, bonds, options, or

other securities, or limited partnership interests or investments and trust units, whether or not in

negotiable form, issued or unissued, foreign exchange, commodities, and contracts relating to same

(including commodity futures), on margin or otherwise, for my account(s) and risk; (b) to deliver to any

third party securities for my account(s), and to instruct any third party to deliver securities from my

account(s) to any other brokerage firm or to others, and in such name and form as the Agent may direct;

to receive and direct payments therefrom payable to me or to others; (d) to sell, assign, endorse and

transfer any stocks, bonds, options or other securities of any nature, at any time standing in my name

and to execute any documents necessary to effectuate the foregoing; (e) to receive statements of

transactions made for my account(s); (f) to approve and confirm the same, to receive any and all notices,

calls for margin, or other demands with reference to my account(s); and (g) to make any and all

agreements with any third party with reference thereto for me and on my behalf.

Initials: _____________ _____________

Principal Witness

6. Employ Consultants. To employ, compensate and terminate the services of financial,

investment and legal advisors and consultants.

Initials: _____________ _____________

Principal Witness

7. Power with Respect to Insurance. To purchase, maintain, surrender, collect or cancel (a)

life insurance or annuities of any kind on my life or the life of any one in whom I have an insurable

interest, (b) liability insurance protecting me and my estate against third party claims, (c) hospital

insurance, medical insurance, Medicare supplement insurance, custodial care insurance, and disability

income insurance for me or any of my dependents, and (d) casualty insurance insuring assets of mine

against loss or damage due to fire, theft, or other commonly insured risk; to pay all insurance premiums,

to select any options under such policies, to increase coverage under any such policy, to borrow against

any such policy, to pursue all insurance claims on my behalf, to adjust insurance losses; and the

foregoing powers shall apply to private and public plans, including, without limitation, Medicare,

Medicaid, and Workers' Compensation.

Initials: _____________ _____________

Principal Witness

8. Power to Provide for Principal's Support. To do all acts necessary for maintaining my

customary standard of living, to provide living quarters by purchase, lease or other arrangement, or by

payment of the operating costs of my existing living quarters, including interest, amortization payments,

repairs and taxes, to provide normal domestic help for the operation of my household, to provide

clothing, transportation, medicine, food and incidentals, and if necessary to make all necessary

arrangements, contractual or otherwise, for me at any hospital, hospice, nursing home, convalescent

home or similar establishment, or in my own residence should I desire it, and to assure that all of my

essential needs are provided for at such a facility or in my own residence, as the case may be.

Initials: _____________ _____________

Principal Witness

9. Income Tax Returns. To prepare and file any federal, state or local income tax return on

my behalf and to deal with any governmental agency with respect to any of my tax returns.

Initials: _____________ _____________

Principal Witness

10. Nomination of Guardian/Conservator. While I hope that by executing this

instrument I will have obviated the need for a guardianship and conservatorship of my person and of my

estate, if it should become necessary for a guardian or conservator to be appointed for my person or for

my estate, I nominate the Agent to so serve.

11. Alternate Agents. If the Agent designated in the introductory paragraph of Article One

above cannot serve or continue to serve or is unavailable to serve, I appoint

____________________________________, to serve as my Alternate Agent (“Alternate Agent”). No

Alternate Agent shall be liable for any act or omission of the initial Agent.

12. Benefit to Agent. My agent shall be entitled to reasonable compensation for any services

provided as my Agent, which compensation shall be up to $____________ per hour. My agent shall be

entitled to reimbursement of all reasonable expenses incurred as a result of carrying out any provision of

this Power of Attorney.

Initials: _____________ _____________

Principal Witness

13. General Power of Appointment. Nothing in this instrument shall be construed as creating

in the Agent a general power of appointment exercisable in its own behalf, or for the benefit of the

Agent's estate, the Agent's creditors, or creditors of the estate of the Agent.

14. Limitations on Authority. The Agent shall not have any power to amend, alter, or revoke

any will or codicil.

15. Revocation of Prior Powers of Attorney. I hereby revoke all powers of attorney, whether

general or limited, previously granted by me as principal and terminate all agency relationships created

thereunder, including, without limitation, those relationships of all successor agents named therein, if

any, except any powers granted by me on forms provided by financial institutions granting the right to

write checks or deposit funds to or withdraw funds from accounts to which I am a signatory or granting

access to a safe deposit box shall not be hereby revoked, but shall continue to be in full force and effect.

16. Ratification. I hereby ratify and approve any act or failure to act of the Agent in good faith and

any such act done by the Agent at any time, including but not limited to, any act done at any time at

which I am disabled, incompetent or incapacitated or at any time at which there is uncertainty as to

whether I am dead or alive, shall, unless otherwise invalid or unenforceable, have the same effect and

bind me, my guardian, heirs, distributees, legatees, devisees, assignees, and personal representatives to

the same extent as if I had been alive and not disabled, incapacitated, or incompetent at the time of such

act.

17. Protection for Third Parties. Any person or entity acting without negligence and in good faith

in reasonable reliance on this power of attorney shall not incur any liability thereby, nor shall the fact

that time has elapsed since its execution prevent such persons or entity from reasonably relying on this

instrument. Persons and entities shall place reasonable reliance on this power of attorney regardless of

whether it has been filed for record and may request the issuance of an affidavit by the Agent on which

the third party may rely.

18. Governing Law. The laws of the State of Arizona shall govern this power of attorney in all

respects.

I, _____________________________, the principal, sign my name to this Financial Durable

General Power of Attorney this ___ day of _______, 20__, and being first duly sworn, do declare to the

undersigned authority that I sign and execute this instrument as my Power of Attorney and that I sign it

willingly, or willingly direct another to sign for me, that I execute it as my free and voluntary act for the

purposes expressed in the Financial Durable General Power of Attorney and I declare that I am eighteen

years of age or older, of sound mind and under no constraint or undue influence

________________________________________

Principal

WITNESS: I, _______________________________, the witness, sign my name to the

foregoing Financial Durable General Power of Attorney being first duly sworn and I do declare to the

undersigned authority that the principal has signed and executed this instrument as his/ her power of

attorney and that he/she signed it willingly, and that I, in the presence and hearing of the principal,

signed this power of attorney as a witness to the principal's signing and that to the best of my knowledge

the principal is eighteen years of age or older, of sound mind and under no constraint or undue influence.

Dated: ____________________ ______________________________________

Signature of Witness

_________________________________________

Printed Name of Witness

STATE OF ARIZONA )

) ss.

County of _____________ )

Subscribed, sworn to, and acknowledged before me, the undersigned Notary Public, by

___________________________________, the principal, and subscribed, sworn to, and acknowledged

before me by ________________________, witness, this ____ day of __________, 20__.

_________________________________________

Notary Public

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