Michigan General Power of Attorney

MICHIGAN POWER OF ATTORNEY

I, [Sender.FirstName][Sender.LastName], appoint (Agent.FirstName) (Agent.LastName) at (Agent.Address) as my Agent to act for me in any lawful way with respect to the powers set forth in this document. If my first choice cannot serve or cannot continue to serve, I designate (Successor.FirstName) (Successor.LastName) at (Successor.Address), to act for me as my Agent. I have discussed this appointment with the individual or individuals I have designated.

EFFECTIVE DATE

My agent has the powers set forth in this document immediately upon my signing it. These powers shall not be affected by any mental or physical disability I may have in the future.

OR

My agent shall only have the powers set forth in this document when it is determined I am unable to manage my property and financial affairs effectively. That determination shall be made by my attending physician, who shall put it in writing.

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POWERS

My Agent shall exercise power in my best interests and for my welfare, as a fiduciary. My Agent shall have the following powers:

1. Real Property Transactions.

To purchase, sell, lease, repair, improve, mortgage, and make mortgage and utility payments upon real property. A legal description is attached.

2. Tangible Personal Property Transactions.

To hold personal property for safekeeping, and to buy and sell personal property, including motor vehicles.

3. Investments.

To invest and reinvest my funds, and to withdraw funds to the extent needed to pay for my needs.

4. Banking and Other Financial Institution Transactions.

To receive funds, deposit funds in any financial institution and make withdrawals by check or otherwise to pay for goods, services, and any other personal and business expenses for my benefit. To effect her or his powers, my Agent has power to sign a power of attorney drafted by the institution, and shall have access to my safe deposit box.

5. Insurance.

To purchase, pay premiums and make claims on life, health, automobile and homeowners’ insurance, except my agent shall not have the power to cask in or change the beneficiary of any life insurance policy.

6. Estate Plan.

My Agent has no authority to make or amend a will on my behalf, and has no power to make gifts on my behalf except to my spouse. My Agent has access to my will; in exercising powers, my agent shall take into account my estate plan as known to the agent.

7. Legal Advice and Proceedings.

To obtain and pay for legal advice, to initiate or defend legal and administrative proceedings on my behalf, including actions against third parties who refuse without cause to honor this document.

8. Government Benefits.

To apply for and receive any government benefits for which I may be eligible or become eligible, including but not limited to, Social Security, Medicare and Medicaid.

9. Retirement Plan.

To contribute to, select payment option of, roll.over, and receive benefits of any retirement plan or IRA, except my agent shall not have power to change the beneficiary of any plan or IRA.

10. Taxes.

To complete and sign any local, state and federal tax returns, pay any taxes and assessments due and receive credits and refunds, to sign any IRS documents necessary to effectuate these powers.

SPECIAL INSTRUCTIONS

(add special instructions)

OTHER PROVISIONS

No person in Michigan or in any other state who relies upon representations of my Agent under this power of attorney shall be liable to me or my estate without actual knowledge my agent did not have power to act.

My Agent shall not incur any liability to me under this power except for a breach of fiduciary duty.

My Agent is entitled to reimbursement of reasonable expenses incurred in exercising powers, and to reasonable compensation for services as an agent.

Photocopies of this document can be relied upon as though they were originals.

SIGNATURE OF PRINCIPAL

I sign this document voluntarily, and I understand its purpose.

STATEMENT AND SIGNATURE OF WITNESSES

We sign below as witnesses. This declaration was signed in our presence. The declarant appears to be of sound mind, and to be making this designation voluntarily, without duress, fraud and undue influence. Neither of us is an agent named in this document.

SIGNATURE OF NOTARY

Statement of Witness

On the date written above, the Principal declared to be in my presence that this instrument is his general power of attorney and that he or she had willingly signed or directed another to sign for thim or her, and that the Principal executed it as their free and voluntary act for the purposes expressed therein.