Durable Power Of Attorney Form
Use this form to give a person Power of Attorney authorization for your account. Mail to: The Oakmark Funds / P.O. Box 219558 / Kansas City, MO 64121-9558 Phone: 1-800-OAKMARK (1-800-625-6275)
1. Existing Account Registration (Please Print)
__________________________________________________________________________________________________________________________________________________________
Fund Name or Number(s)
/
Account Number(s)
________________________________________________________________________________________________________________________ Account Owner’s Name Joint Account Owner’s Name ________________________________________________________________________________________________________________________ Street Address City State Zip Code ________________________________________________________________________________________________________________________ Daytime Telephone Number E-mail Address
2. Attorney-In-Fact Information (Please Print)
__________________________________________________________________________________________________________________________________________________________
Name of Attorney-In-Fact (1) / Agent (First, Middle, Last)
Social Security Number
Date of Birth (MM/DD/YYYYY)
________________________________________________________________________________________________________________________ Street Address (no P.O. Boxes) City State Zip Code ________________________________________________________________________________________________________________________ Daytime Telephone Number E-mail Address Please note: Federal Regulations require us to obtain certain personal information from your agent and to use that information to verify their identity. If they do not provide the information requested then we may not be able act on your request. In the event that we are unable to verify the identity of your agent, we reserve the right to refuse to add them to your account, close your account or take other such steps as we deem necessary to comply with the Federal Regulations.
3. Power of Attorney Authorization
I, ________________________________________, hereby appoint ________________________________________ as my agent and authorize
(Name of Account Owner(s)) (Name of Attorney-In-Fact / Agent)
him/her to transmit to you, Harris Associates Investment Trust (“Oakmark”) and/or the transfer agent, Boston Financial Data Services, Inc. (“BFDS”), either orally, electronically or in writing, in accordance with procedures established by BFDS from time to time, instructions for the purchase, sale, exchange or transfer of shares of The Oakmark Funds that are maintained by BFDS. BFDS may treat the above named agent as authorized to act for me on my behalf with respect to the account(s) referenced above in the same manner and with the same force and effect as I could with respect to such purchases, sales, exchanges, or transfers of shares for the Funds. I agree to indemnify and hold Oakmark, its distributor, BFDS, and State Street Bank and Trust Company, harmless from acting upon instructions believed by you to have originated from said agent and from any and all acts of said agent with respect to the shares held in my account(s) with any of The Oakmark Funds.
This authorization and indemnity is a continuing one and shall remain in full force and effect until conclusive notice of my death is received by you or the power of attorney is revoked by me by a written notice addressed, delivered and received by Oakmark or BFDS at P.O. Box 219558, Kansas City, MO, 64121-9558, but such revocation shall not affect any liability in any way resulting from transactions initiated prior to your receipt of such revocation. This power or attorney shall not be affected by subsequent disability or incapacity of me, the principal. In the case of death, this durable power of attorney shall not be revoked or terminate the agency as to the agent, who, without actual knowledge acts in good faith under such power. Any such action so taken, unless otherwise invalid or unenforceable, shall bind me and my successor in interest.
(1) The Attorney-In-Fact is the person to whom you wish to grant power of attorney over your account.
(See Page 2)
4. Signature(s) (Required)
The undersigned has read the foregoing in its entirety before signing.
X ________________________________________________________________________________________________________________________ Signature of Account Owner Date X ________________________________________________________________________________________________________________________ Signature of Joint Account Owner Date
Required)
5. Notarization of Account Owner(s) (Required)
On this __________ day of ____________________, 20 _____, before me personally appeared ____________________________________________
(Name of Account Owner(s))
known to me to be the person(s) described in the foregoing instrument, and acknowledged that he/she/they executed the same as his/her/their free act and deed.
Notary Stamp or Seal
X
Signature of Notary Public Date
Commission Expiration Date
)
6. Affidavit of Attorney-In-Fact
State of County of I,
(Name of Attorney-In-Fact)
(Required. To be completed by Attorney-In-Fact)
, being sworn, hereby state that
(Name of Account Owner(s))
, , did on this _______ day of
as principal, who resides at 20
, appoint me his/her/their trust and lawful attorney by the authorization on the first page of this form.
Signature of Attorney-In-Fact
)
X
Date.
)
(Required. To be completed by )
7. Notarization of Attorney-In-Fact
(Required)
On this __________ day of ____________________, 20 _____, before me personally appeared _____________________________________________ known to me to be the person(s) described in the foregoing instrument, and acknowledged that he/she/they executed the same as his/her/their free act and deed.
(Name of Attorney-In-Fact / Agent)
Notary Stamp or Seal
Signature of Notary Public
X
Date
Commission Expiration Date
POAFORM
Revised 3/07