Pennsylvania Special Durable Power of Attorney for Bank Account Matters

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									Special Durable Power of Attorney
                                                         for Bank Account Matters


                          This Special Durable Power of Attorney for Bank Account Matters is intended to be used by
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                          an individual if he or she wishes his agent to handle bank account matters for him, including,
                          making deposits, writing checks, opening accounts, etc. This Power of Attorney is intended
                          to allow the individual to give only specific powers to the agent related to banking matters
                          only.




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                                                                                              Attorney Drafted
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                       SPECIAL DURABLE POWER OF ATTORNEY

                              FOR BANK ACCOUNT MATTERS

KNOW ALL MEN BY THESE PRESENTS:

That I, ____________________________ [Instruction: Insert the name of principal] residing
at _______________________________ [Instruction: Insert the address of principal]
(hereinafter referred to as the “Principal”), being of sound mind and memory, do hereby make,
constitute and appoint ____________________________ [Instruction: Insert the name of
agent] residing at _________________________________ [Instruction: Insert the address of
agent], as my true and lawful Agent (hereinafter referred to as the “Agent”), with full power and
authority to act for me, individually, and in my name, place and stead, with reference to the
transaction of any and all business related to or connected with my bank accounts at
____________________________ Bank [Instruction: Insert the name of bank] having its
principal place of business at ____________________________ [Instruction: Insert the
branch address of the bank], of County ____________________________ [Instruction:
Insert the county], of State Pennsylvania, (hereinafter referred to as the “Bank”), including, but
not limited to, the following:

1. Making deposits, transfers and withdrawals to or from any of my bank accounts at the Bank.

2. Writing, making and endorsing checks, drafts and other instruments in connection with my
   bank accounts at the Bank.

3. Opening new checking, savings, money market, certificates of deposit, IRA’s (Individual
   Retirement Arrangement) or other accounts in my name and maintaining same.

4. Approving and authorizing automatic withdrawals from my accounts.

5. Executing signature cards for accounts maintained or opened by the Agent in my name.

6. Paying bills and other obligations of me, and paying those bills on a current basis.

7. Managing my security holdings, and employing or discharging professional financial
   advisors and managers if the Agent believes it to be important.

8. Borrowing from time to time such sums of money as the Agent may deem fit and proper in
   order to meet obligations rather than liquidate assets at depressed prices and execute
   promissory notes, security deeds or agreements, financial statements or other security
   instruments in such form as the lender may request and renewing said notes and security
   instruments from time to time in whole or in part. [Instruction: Please remove this clause if
   you do not wish to grant power to Agent to borrow money.]

9. Having free access at any time or times to any safe deposit box or vault to which I might
   have access.



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10. Performing any and all other matters relating to, or in connection with, my bank accounts at
    the Bank.

I direct that the above-related powers and authority of the Agent shall be so exercisable and
effective regardless of the fact that I may be mentally or physically incapacitated or incapable of
understanding or unable to express myself or act in my own behalf at the time of any action on
my behalf by the Agent. Such incapacity, whether mental or physical, that I may exhibit shall not
in any way interfere with the authority of the Agent herein to act fully on my behalf according to
the terms hereof. In other words, this Power of Attorney shall not be affected by my subsequent
disability, incompetence or incapacity.

And I do hereby undertake to ratify and confirm, all and singular, the acts heretofore performed
and to be hereinafter performed by the Agent, acting in my name and on my behalf.

The Bank shall honor this Power of Attorney until and unless the Bank receives written notice of
revocation of same signed by me. The Bank is hereby indemnified and shall be held harmless by
me for any and all actions taken by the Agent regarding my accounts at the Bank, regardless of
whether within the intended scope of this Power of Attorney or not; therefore, the Bank shall
have no liability for the actions of the Agent or for following the directions of the Agent in
connection with my bank accounts at the Bank.

IN WITNESS WHEREOF, I have executed this Power of Attorney on this _____ [Month]
______ [Date] 20___



____________________________________
[Instruction: Insert signature of Principal]



______________________________________________
 [Instruction: Insert typed/printed name of Principal]



____________________________________
[Instruction: Insert signature of Agent]



______________________________________________
 [Instruction: Insert typed/printed name of Agent]




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Signed sealed and delivered in the presence of:



_____________________________________
[Instruction: Insert signature of Witness #1]



_____________________________________________
_____________________________________________

[Instruction: Insert name and address of Witness #1]



_____________________________________
[Instruction: Insert signature of Witness #2]



_____________________________________________
_____________________________________________

[Instruction: Insert name and address of Witness #2]




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                                      ACKNOWLEDMENT




State of Pennsylvania

County of __________________


I, the undersigned, a Notary Public in and for said County in said State, hereby certify that
______________________________, who is known to me, acknowledged before me on this day
that, being informed of the contents of the instrument, he/she executed the same voluntarily on
the day the same bears date



Given under my hand and official seal this the ________ day of ________, ____.



                                                       __________________________________

                                                         Notary Public



My Commission Expires: ______________



(SEAL)




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delete the Instructions and Comments from open bracket (“[“) to close bracket (“]”) after
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practicing in your state, and be reasonable.

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