HomeMy WebLinkAboutSubmittal - Ulysses Kemp - General Power of AttorneySubmitted into the public
record for itern(s) 0 �,— ti 4
on City Clerk
General Poorer of Attorney
(with Durable Provision)
NOTICES THIS IS AN IMPORTANT DOCUMENT. BEFORE SIGNING THIS DOCUMENT, YOU SHOULD KNOW THESE IMPORTANT
FACTS, THE PURPOSE OF THIS POWER OF ATTORNEY IS TO GIVE THE PERSON WHOM YOU DESIGNATE (YOUR "AGENT")
BROAD POWERS TO HANDLE YOUR PROPERTY" WHICH MAY INCLUDE POWERS TO PLEDGE, SELL OR OTHERWISE DISPOSE OF
ANY REAL OR PER50NAL PROPERTY WITHOUT ADVANCE NOTICE TO YOU OR APPROVAL BY YOU, YOU MAY SPECIFY THAT
THESE POWERS WILL EXIST EVEN AVER YOU BECOME DISABLED, INCAPACITATED OR INCOMPETENT. THIS DOCUMENT
DOES NOT AUTHORIZE ANYONE TO MAKE MEDICAL OR OTHER HEALTH CARE DECISIONS FOR YOU. IF THERE Is ANYTHING
ABOUT THIS FORM THAT YOU DO NOT UNDERSTAND, YOU SHOULD ASK A LAWYER TO EXPLAIN IT TO YOU. YOU MAY
REVOKE THIS POWER OF ATTORNEY IF YOU LATER WISH TO DO SO.
TO ALL PERSONS, be it known that I, _> LI VCA 4 l-e— ! 1qAelL
of Gr/ L 6464 .20
the undersigned Grantor (hereinafter Principal), do hereby make and grant a general power of attorney to
and do thereupon constitute and appoint said individual as my Attorney-in-Fact/Agent.
If my Agent is unable to serve for any reason, 1 designate
of as my successor Agent.
My Attorney-in-Fact/Agent shall act in my name, place and stead in anyway that I myself could do, if I were personally present,
with respect to the following matters, to the extent that I am permitted by law to act through an agenr
(NOTICE: The Principal must write his or her initials in the corresponding blank space of each box below with respect to each
of the subdivisions (A) through (N) below for which the Principal wants to give the agent authority. If the blank space within
a box for any particular subdivision is NOT initialed, NO AUTHORITY WILL BE GRANTED for matters that are included in that
subdivision. Cross out each power withheld.)
16 ]
(A)
Real estate transactions
(� ]
(B)
Tangible personal property transactions
]
(C)
Bond, share and commodity transactions
[{ ]
(D)
Banking transactions
`]' ]
(B)
Business operating transactions
15 ]
(F)
Insurance transactions
[ ]
(G)
Gifts to charities and individuals other than Attorney-in-Fact/Agent
(If trust distributions are involved or tax consequences are anticipated,
consult an attprr)gy,)
(j ]
(H)
Claims and liiig4jpri;
( ]
(1)
Personal relafionshipspfn f
4+ J
[ ]
0)
..affa'rs rid
q
Benefits from
WWWW.sQ1141KWM Page I of 3
O 2005 Soua[es, f
C� .Q� 4 cos.,UT '
s� bmitted into the public
.(.—Cc)rd for lerri(s)
�04 +City er2c
[ j (K) Records, reports and statements
1 (L) Full and unqualified authority to my Attorney-in-Fact'Agent to delegate any or all of the
foregoing powers to any person or persons whom my Attorney-in-Fact/Agent shall select
[5� 1 (M)
[591 (N)
Durable Provision:
Access to safe deposit box(es)
All other matters
[� ] (0) If the blank space in the block to the left is initialed by the Principal, this power of
attorney shall not be affected by the subsequent disability or incompetence of the
Principal.
Other Terms. � _ [ Y ),ay4 f 11'� o�---
yii�' ma, �n, /? � i v, U/ it — 1:7�)r-7/- -fir- --t-P fir;/i�a f ps Ids
My Attorney-in-Fact/Agent hereby accepts this appointment subject to its terms and agrees to act and perform in said fiduciary
capacity consistent with my best interests as he or She in his or her best discretion deems advisable, and I affirm and ratify all
acts so undertaken.
TO INDUCE ANY THIRD PARTY TO ACT HEREUNDER, I HEREBY AGREE THAT ANY THIRD PARTY RECEIVING A DULY
EXECUTED COPY OR FACSIMILE OF THIS INSTRUMENT MAY ACT HEREUNDER, AND THAT REVOCATION OR TERMINATION
HEREOF SHALL BE INEFFECTIVE AS TO SUCH THIRD PARTY UNLESS AND UNTIL ACTUAL NOTICE DR KNOWLEDGE OF
SUCH REVOCATION OR TERMINATION SHALL HAVE BEEN RECEIVED BY SUCH THIRD PARTY, AND I FOR MYSELF AND FOR
MY HEIRS, EXECUTORS, LEGAL REPRESENTATIVES AND ASSIGNS, HEREBY AGREE TO INDEMNIFY AND HOLD HARMLESS
ANY SUCH THIRD PARTY FROM AND AGAINST ANYAND ALL CLAIMS THAT MAY ARISE AGAINST SUCH THIRD PARTY BY
REASON OF SUCH THIRD PARTY HAVING RELIED ON THE PROVISIONS OF THIS INSTRUMENT.
Signed under seal this �0 day of TY zrJ(
Signed in the presence of:
C
pal.)
I'Ag nt