Indiana Power of Attorney - General

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                             This Power of Attorney is used to appoint an agent to act on the principal's behalf regarding
                             the principal's financial matters. This form grants the agent the right to speak or act on the
                             principal's behalf, including the power to lease or sell real estate or personal property, to
                             collect any money owed to the principal, and to sign documents on behalf of the principal.
                             This document contains many of the powers typically included in a power of attorney, but
                             can be customized to contain the specific powers the principal wishes to grant to his or her
                             agent. It should be used by individuals located in Indiana who wish to appoint an agent to
                             act on their behalf.
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                 INDIANA GENERAL DURABLE POWER OF ATTORNEY


                Title 30_ Article 5_ Chapter 4_Section 1 of 2011 Code of Indiana


KNOW ALL MEN BY THESE PRESENTS that I ________________________________
[Instruction: Insert the name of person/principle making this power of attorney] residing at
___________________        [Instruction:   Insert the Address             of   Principal]    County of
______________ [Instruction: Insert the County], State of Indiana, hereinafter termed as the
“Principal” do hereby make, constitute and appoint ________________________________
[Instruction:     Insert    the     name      of    attorney     in       fact/agent]       residing   at
_______________________________ [Instruction: Insert the address of attorney in
fact/agent] hereinafter termed as the “Agent” as my true and lawful attorney in fact for me and
in my name, place and stead, generally to act as my Agent in relation to all matters in which I
may be interested or concerned, not including matters about which I have authorized my Agent
to make decisions, and as such to do all acts and things and to execute all instruments as fully
and effectually in all respects as I myself could do if personally present, excepting only such acts
and things as the law of the place where they are to be done (including the conflicts of law rules)
or their nature would make impossible, it being my intention, regardless of the mention hereafter
of any powers which may be specifically included in this general power, to make this a full,
complete and general power of attorney. This power of attorney shall not be affected by my
subsequent disability, incompetency or incapacity. I grant the following powers and authority to
my Agent appointed above:


1. Power to Execute Generally. To do whatsoever is requisite and necessary to be done in the
   foregoing, as fully as I could if personally present, with full power of substitution, hereby
   ratify
				
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Description: This Power of Attorney is used to appoint an agent to act on the principal's behalf regarding the principal's financial matters. This form grants the agent the right to speak or act on the principal's behalf, including the power to lease or sell real estate or personal property, to collect any money owed to the principal, and to sign documents on behalf of the principal. This document contains many of the powers typically included in a power of attorney, but can be customized to contain the specific powers the principal wishes to grant to his or her agent. It should be used by individuals located in Indiana who wish to appoint an agent to act on their behalf.
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