Power of Attorney

POWER OF ATTORNEY

This Power of Attorney is granted on [DATE] by [PRINCIPAL NAME] ("Principal") to [AGENT NAME] ("Agent").

1. APPOINTMENT OF AGENT

Principal appoints Agent as attorney-in-fact to act on Principal's behalf for the purposes described herein.

2. POWERS GRANTED

Agent is authorized to: [SPECIFIC POWERS] including but not limited to [DETAILED AUTHORITY LIST].

3. LIMITATIONS

This power of attorney [DOES/DOES NOT] include authority to make healthcare decisions. Specific limitations: [LIMITATIONS].

4. EFFECTIVE DATE

This power of attorney becomes effective: [IMMEDIATELY/UPON INCAPACITY] and remains in effect until [TERMINATION CONDITIONS].

5. SUCCESSOR AGENT

If Agent becomes unable to serve, [SUCCESSOR AGENT NAME] shall serve as successor agent with the same powers.

6. REVOCATION

Principal may revoke this power of attorney at any time by written notice to Agent and any third parties relying on this document.

PRINCIPAL: _________________ Date: ___________

[PRINCIPAL NAME]

Acknowledged by Agent: _________________ Date: ___________

[AGENT NAME]

Notarized: _______________