HomeMy WebLinkAboutSubmittal - Ulysses Kemp - General Power of AttorneySubmitted into the public
record for item(s)
on $ I )1) . l� City Clerk
General Power of Attorney
(with Durable Provision)
NOTICE: 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 PERSONAL PROPERTY WITHOUT ADVANCE NOTICE TO YOU OR APPROVAL BY YOU. YOU MAY SPECIFY THAT
THESE POWERS WILL EXIST EVEN AFTER 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 S0.
TO ALL PERSONS, be it known that I, —C VG( 11,-e
of ..3,...4/G,/ -i2 S . / «/ c 3 3 7-2
the undersigned Grantor (hereinafter Principal), do hereby make and grant a general power of attorney to
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and do thereupon constitute and appoint said individual as my Attorney-in-Fact/Agent.
If my Agent is unable to serve for any reason, I designate
of
4/7
as my successor Agent.
My Attorney-in-Fact/Agent shall act in my name, place and stead in any way 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 agent
(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.)
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(J)
Real estate transactions
Tangible personal property transactions
Bond, share and commodity transactions
Banking transactions
Business operating transactions
Insurance transactions
Gifts to charities and individuals other than Attorney-in-Fact/Agent
(If trust distributions are involved or ta_x consequences are anticipated,
consult an attprney). t „ )
Claims and IitigQtiori r "`; " ••
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[5� 1 (K) Records, reports and statements
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[5A 1 (M)
[54 1 (N) All other matters
Durable Provision:
:submitted into the public
t.ecord for i em(s) _Q .iCa-
-,Ifag•it7Cityerk
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
Access to safe deposit box(es)
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: 7v ( e c• (Y sea J\/ 4/ /1P v1 /47CpALe/ }LC,
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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 OR 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 ANY AND 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 /7 day of 44,K
Signed in the presence of:
/7
Witness
Witness—.
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Grantor (Principal)
Attorne -in-Fact/A nt
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OFFICIAL NOTARY SEAL
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