PowerofAttorney.com
Special instructions applicable to gifts (initial in front of the following sentence to have it
apply):
_____ I grant my agent the power to apply my property to make gifts outright to
or for the benefit of a person, including by the exercise of a presently exercisable
general power of appointment held by me, except that the amount of a gift to an
individual may not exceed the amount of annual exclusions allowed from the federal gift
tax for the calendar year of the gift.
ON THE FOLLOWING LINES YOU MAY GIVE SPECIAL INSTRUCTIONS LIMITING
OR EXTENDING THE POWERS GRANTED TO YOUR AGENT.
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UNLESS YOU DIRECT OTHERWISE BELOW, THIS POWER OF ATTORNEY IS
EFFECTIVE IMMEDIATELY AND WILL CONTINUE UNTIL IT TERMINATES.
CHOOSE ONE OF THE FOLLOWING ALTERNATIVES BY CROSSING OUT THE
ALTERNATIVE NOT CHOSEN:
(A) This power of attorney is not affected by my subsequent disability or incapacity. (B)
This power of attorney becomes effective upon my disability or incapacity.
YOU SHOULD CHOOSE ALTERNATIVE (A) IF THIS POWER OF ATTORNEY IS TO
BECOME EFFECTIVE ON THE DATE IT IS EXECUTED.
IF NEITHER (A) NOR (B) IS CROSSED OUT, IT WILL BE ASSUMED THAT YOU
CHOSE ALTERNATIVE (A).
If Alternative (B) is chosen and a definition of my disability or incapacity is not contained
in this power of attorney, I shall be considered disabled or incapacitated for purposes of
this power of attorney if a physician certifies in writing at a date later than the date this
power of attorney is executed that, based on the physician's medical examination of me,
I am mentally incapable of managing my financial affairs. I authorize the physician who
examines me for this purpose to disclose my physical or mental condition to another
person for purposes of this power of attorney. A third party who accepts this power of
attorney is fully protected from any action taken under this power of attorney that is
based on the determination made by a physician of my disability or incapacity.
I agree that any third party who receives a copy of this document may act under it.
Termination of this durable power of attorney is not effective as to a third party until the
third party has actual knowledge of the termination. I agree to indemnify the third party
