Schedule
(Section 9)
Power of Attorney
(For the appointment of one attorney)
(For the appointment of one attorney)
This General Power of Attorney is given on ............................................... (Date)
by .............................. (Donor) of ............................................................. (Donor's Address)
I appoint the following person:
.......................................... (Name of Attorney) of ....................................... (Address of Attorney)
to be my attorney in accordance with the Power of Attorney Act and to do on my behalf anything that I can lawfully do by an attorney.
This power of attorney is subject to the following conditions and restrictions:
(Cross this line out if there are no conditions or restrictions.)
(Cross this line out if there are no conditions or restrictions.)
WITNESSED BY:
.................................................
(Signature of Witness)
(Signature of Witness)
................................................. .................................................
(Print Name of Witness) (Donor)
(Print Name of Witness) (Donor)
.................................................
(Address of Witness)
(Address of Witness)